Scary: A patient’s mouth was swollen after visiting a forest, he thought it was herpes but in fact there were 3 worms in it. The doctor took a large sample. Points out that this is a rare case.
Pictures of 馬偕醫院
On February 23, 2024, the website ctinews.com reported on the frightening case of a 33-year-old man from Taiwan who traveled to Peru. But 2 weeks after returning to Taiwan, unusual symptoms began to appear. swollen lips So he went to get checked at a skin clinic and was diagnosed with herpes. But after half a month of treatment, the symptoms did not improve. Finally, when he was transferred to another hospital for examination, it was found to be true. The swelling on the lips was because there were 3 maggots growing in there!
The report revealed that Mr Chen traveled to Peru in mid-October 2023 and stayed in the Machu Picchu rainforest area. Until he returned to Taiwan in early November. His lips were found to be slightly swollen. But I wasn’t worried about anything. But after two weeks, his lips became swollen and painful.
Pictures of 馬偕醫院
Mr. Chen decided to go to a skin clinic. and was diagnosed with herpes. But after using the medicine for a while, the symptoms did not improve. It wasn’t until he was transferred to Meccay Memorial Hospital’s dental department that the horrifying truth was discovered.
Doctor Liu Chongji, director of the hospital’s dental department, said Mr Chen’s early symptoms were similar to those of other insect bites, with small bumps making them easy to mistake for herpes. But Mr. Chen said that while looking in the mirror Instead, I noticed that something was moving. And there are also 3 red spots on the lips. Until the wound has secrets seeping out. It was found that eggs of rare insects were actually there. which hatched into larvae It did not take long for the doctors to successfully remove the three maggots from the lip.
Dr. Liu Chongji revealed that cases of insect larvae found in humans are considered rare in Taiwan. Previously only 2 cases were found on the scalp. This case was therefore the first time he had ever seen it as well. Traditionally, doctors would remove the worms in outpatient clinics. But the patient could not stand it. Therefore, a change to the use of anesthesia in the operating room was necessary. Before surgery, 3 worms were removed. After that, Mr Chen spent one night in hospital and was able to return home.
About the worm that was taken out It was sent for a pathological examination. and it was identified by Professor Xiao Xufeng. From the laboratory of the Department of Entomology, National Taiwan University This is the larva of the horsefly, which is difficult to find in Taiwan.
side Dr. Huang Weixin family doctor According to the Meccay Memorial Hospital, the insects are commonly found in Central and South America, from Mexico to Argentina. and northern Chile Generally lives in tropical forests. Such insects usually lay their eggs in the stomachs of arthropods such as mosquitoes. When a mosquito bites the host, insect eggs will also enter the wound. and hatch into larvae at the host’s body temperature. As lesions are usually painless, they can be difficult to detect. But as long as all the larvae are removed The wound usually heals with few complications.
However, for those wishing to travel to high risk areas, they should wear long sleeved clothing. Wear a hat to protect your neck and scalp. Do not use perfume or deodorant. And apply mosquito repellents to skin not covered by clothing. And when he returned, he found a wound similar to a mosquito bite that had not yet healed. You should see the doctor for advice quickly and report your travel history.
Thanks for information from ctinews.com, mnews.tw.
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