A Case of Internal Myiasis of the Repiratory System Associated with Pneumonia

폐렴과 병발된 호흡기계의 내부 승저증(internal myiasis) 1례

  • Choi, Eu-Gene (Department of Internal Medicine, College of Medicine, Konyang University) ;
  • Lim, Dong-Mee (Department of Internal Medicine, College of Medicine, Konyang University) ;
  • Na, Moon-Jun (Department of Internal Medicine, College of Medicine, Konyang University) ;
  • Yang, Jong-Myeung (Department of Radiology, College of Medicine, Konyang University) ;
  • Lee, Young-Ha (Department of Parasitology, College of Medicine, Chungnam University) ;
  • Lee, Won-Young (Department of Internal Medicine, College of Medicine, Konyang University)
  • 최유진 (건양대학교 의과대학 내과학교실) ;
  • 임동미 (건양대학교 의과대학 내과학교실) ;
  • 나문준 (건양대학교 의과대학 내과학교실) ;
  • 양종명 (건양대학교 의과대학 방사선과학교실) ;
  • 이영하 (충남대학교 의과대학 내과학교실) ;
  • 이원영 (건양대학교 의과대학 내과학교실)
  • Published : 2002.12.30

Abstract

Internal myiasis is a rare disease, which has not been reported in Korea, yet. This case report describes a patient with pneumonia associated with internal myiasis. She was 84-year old female who was admitted to the emergency department, Konyang University Hospital as a result of dyspnea and fever and a drowsy mental state. Approximately twenty fly maggots continuously crawled out from the nose at the third hospital day in the intensive care unit. These maggots were almost 7.2mm long and were identified as the genus lucilia belonging to the family Calliphoridae. In addition, a bronchial washing study showed eggs of the dipterous larvae. A lesion of this myiasis case might have been located in the respiratory system of patient. This case is the first internal myiasis of the respiratory system reported in Korea. This cases is discussed with a review of the relevant literature.

저자들은 우리나라에서 처음으로 폐렴환자에서 병발된 호흡기계에 발생한 내부승저증 예를 경험하였기에 기생충학적 기술과 문헌 고찰과 함께 보고하는 바이다.

Keywords