Document Detail


Wound myiasis in urban and suburban United States.
MedLine Citation:
PMID:  10888974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The epidemiologic characteristics of human myiasis in the United States remain undefined. OBJECTIVE: To describe the most common clinical conditions associated with human myiasis and the causative maggot species. METHODS: Multicenter, prospective observational study of urban and suburban patients who were infested with maggots. RESULTS: Forty-two cases of US-acquired myiasis were collected from 20 participating centers. Most infestations occurred within preexisting wounds. No cases of tissue invasion were recorded. Host age averaged 60 years, with a male-female ratio of 5.5:1. Homelessness, alcoholism, and peripheral vascular disease were frequent cofactors. Two patients (5%) were hospitalized at the time of their infestation. The most common species was Phaenicia sericata (green blowfly; family: Calliphoridae). Other blowflies, flesh flies (Sarcophagidae), and humpbacked flies (Phoridae) also were identified. In 6 cases, 2 coinfesting species were identified. CONCLUSIONS: Results of this prospective study of myiasis differ significantly from those of our analysis of previously published reports and suggest that most cases of human myiasis are caused by noninvasive blowflies laying eggs in preexisting wounds. Five percent of infestations were nosocomially acquired and not necessarily associated with patient neglect.
Authors:
R A Sherman
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Archives of internal medicine     Volume:  160     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-07-26     Completed Date:  2000-07-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2004-14     Citation Subset:  AIM; IM    
Affiliation:
MSc, DTM&H, Department of Medicine, Room D-440, Medical Sciences Bldg, University of California, Irvine, CA 92697-4800, USA. rsherman@uci.edu.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Centers for Disease Control and Prevention (U.S.)
Cross Infection / epidemiology,  parasitology
Disease Notification
Female
Humans
Larva
Male
Middle Aged
Myiasis / epidemiology*,  parasitology*
Observation
Prospective Studies
Risk Factors
Suburban Population / statistics & numerical data
United States / epidemiology
Urban Population / statistics & numerical data
Grant Support
ID/Acronym/Agency:
1K08AI01454-01/AI/NIAID NIH HHS

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