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Gastrointestinal Myiasis by Larvae of Sarcophaga sp. and Oestrus sp. in Egypt: Report of Cases, and Endoscopical and Morphological Studies

Korean Journal of Parasitology 2011년 49권 1호 p.51 ~ 57
 ( Ahmad Azza K. ) - Minia University Faculty of Medicine Department of Parasitology

 ( Abdel-Hafeez Ekhlas H. ) - Minia University Faculty of Medicine Department of Parasitology
 ( Makhloof Madiha ) - Minia University Minia University Hospital Department of Tropical Medicine
 ( Abdel-Raheem Ehab M. ) - Minia University Minia University Hospital Department of Tropical Medicine

Abstract


Four cases of gastric or intestinal myiasis are reported. The cases contain 2 males (1 child 10 years old, and 1 adult 40 years old) and 2 females (1 girl 18 years old, and 1 adult 50 years old) from Minia Governorate, Southern Egypt. Three of them, including cases no. 1, 3, and 4, were gastric myiasis, and complained of offensive hematemesis of bright red blood. Minute moving worms, larvae of the fly, were found in the vomitus. On the other hand, case no. 2 had intestinal myiasis, and complained of abdominal distention, nausea, vomiting, and diarrhea. The stool of case 2 was mixed with blood, and minute moving worms were observed in the stool. Endoscopy was performed to explore any pathological changes in the stomach of the patients. The larvae were collected and studied macroscopically, microscopically, and us-ing a scanning electron microscope (SEM) to identify their species. Three different types of larvae were identified. The larvae isolated from case 1 were diagnosed as the second stage larvae of Sarcophaga species, and the larvae isolated from case 2 were the third stage larvae of Sarcophaga species. On the other hand, the larvae isolated from cases 3 and 4 were diagnosed as the third stage larvae of Oestrus species.

키워드

Sarcophaga; Oestrus; gastric myiasis; intestinal myiasis; fly larva; SEM; endoscopy
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