أسئلة الخامسة بارا دمياط (قبل التعديل)
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Questions and Answers

Which of the following symptoms is NOT associated with the entrance of fly larvae into human tissues?

  • Severe pain in the eye
  • Nausea
  • Numbness in limbs (correct)
  • Boil-like lesions

What is the primary route through which larvae can enter human tissue?

  • Entry through urinary or genital orifices (correct)
  • Breathing contaminated air
  • Ingestion of contaminated food
  • Direct penetration through the skin

Which of the following flies is associated with causing ocular myiasis?

  • Sarcophaga
  • Dermatobia
  • Wohlfahrtia (correct)
  • Calliphora

Which symptom is typically a result of larvae invading the urinary tract?

<p>Dysuria (C)</p> Signup and view all the answers

Which of the following genera of flies is known to cause intestinal myiasis when their larvae are ingested through contaminated food?

<p>Musca (A)</p> Signup and view all the answers

What type of myiasis occurs when larvae invade living tissues?

<p>Obligatory tissue myiasis (D)</p> Signup and view all the answers

What is a characteristic of obligatory tissue parasites?

<p>They invade only living tissues. (C)</p> Signup and view all the answers

In cases of purulent infections, which flies are typically attracted to the discharge?

<p>Chrysomia and Calliphora (A)</p> Signup and view all the answers

What symptoms are associated with the presence of larvae in the eyes?

<p>Conjunctivitis and corneal ulcers (C)</p> Signup and view all the answers

Which of the following flies is known to deposit larvae in the urinary or genital orifices?

<p>Oestrus (C)</p> Signup and view all the answers

What is one potential treatment method for infections caused by myiasis?

<p>Use of insecticides and nets (A)</p> Signup and view all the answers

In the clinical context, which action is essential for identifying the species of larvae?

<p>Examination of posterior spiracles (A)</p> Signup and view all the answers

Which context describes a patient with open wounds containing larvae?

<p>Specific cutaneous myiasis (D)</p> Signup and view all the answers

What condition is caused by the intentional introduction of Piophila casei larvae into cheese?

<p>Casu marzu (D)</p> Signup and view all the answers

What symptom might a person experience if larvae invade the nasal passages?

<p>Obstruction and persistent bloody discharge (B)</p> Signup and view all the answers

What is one method of preventing healing and inducing sepsis in affected tissue?

<p>Presence of larvae in the tissue (D)</p> Signup and view all the answers

What is a key characteristic of clinical symptoms when larvae invade different tissues?

<p>Symptoms vary based on the tissue that is invaded. (A)</p> Signup and view all the answers

Which method is NOT used for identifying the species of larvae in a clinical setting?

<p>Conducting a blood test for larvae antibodies. (C)</p> Signup and view all the answers

Which option describes how larvae may travel to different body locations?

<p>By moving through the bloodstream after entering the skin. (A)</p> Signup and view all the answers

What consequence might result from the presence of larvae in infected tissues?

<p>Increased risk of secondary infections. (D)</p> Signup and view all the answers

Which is a primary prevention method to control myiasis in food?

<p>Using insecticides and protecting food. (B)</p> Signup and view all the answers

What type of myiasis is characterized by larvae caused by specific species that feed on living tissue?

<p>Specific cutaneous myiasis. (D)</p> Signup and view all the answers

In which scenario might an individual consume living maggots as part of a delicacy?

<p>When tasting casu marzu cheese. (C)</p> Signup and view all the answers

What type of discharge is commonly associated with myiasis in the nasal region?

<p>Bloody purulent discharge. (D)</p> Signup and view all the answers

What are the potential complications that larvae can cause when they invade the urinary tract?

<p>Obstruction to urine flow with dysuria and inflammation (A)</p> Signup and view all the answers

Which of the following is true regarding the life cycle of myiasis-causing flies?

<p>Flies may oviposit in contaminated food sources (B)</p> Signup and view all the answers

Which conditions could lead to the development of ocular myiasis?

<p>Presence of purulent discharge attracting flies (D)</p> Signup and view all the answers

What symptom is typically observed in cases of intestinal myiasis due to accidental ingestion of larvae?

<p>Nausea and diarrhea (A)</p> Signup and view all the answers

Which flies are known for their ability to invade healthy skin and cause lesions?

<p>Hypoderma and Dermatobia (D)</p> Signup and view all the answers

What type of damage can larvae cause when they invade the brain tissue?

<p>Significant neurological deficits and severe pain (A)</p> Signup and view all the answers

What is a characteristic of obligatory tissue parasites among myiasis-causing flies?

<p>They require living tissues for their larvae to develop (A)</p> Signup and view all the answers

How do larvae of certain flies typically enter the human body?

<p>Via open wounds, sexual orifices, and contaminated food (C)</p> Signup and view all the answers

Flashcards

Myiasis

Infection of human tissues by fly larvae (maggots).

How do maggots enter the body?

Fly eggs or larvae can enter through open wounds, orifices (like the anus or mouth), or even intact skin.

Intestinal Myiasis

Maggots reach the intestines after being ingested with contaminated food.

Urinary Myiasis

Maggots enter the urinary tract through the urethra, causing pain, inflammation, and possibly blood in urine.

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Cutaneous Myiasis

Maggots invade the skin, causing boil-like swellings.

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Ocular Myiasis

Maggots invade the eye, causing severe pain.

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Ear Myiasis

Maggots invade the middle ear, inner ear, or even the brain tissue in severe cases.

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Obligatory Tissue Parasite

Fly larvae that only inhabit living tissues.

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Oestrus Larvae

Larvae of flies, specifically the genus Oestrus, that can infest the eyes, nose, or ears of animals.

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Conjunctivitis

Inflammation of the conjunctiva, the clear membrane that lines the inside of the eyelid and covers the white part of the eye.

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Corneal Ulcers

Open sores on the cornea, the transparent outer layer of the eye.

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Accidental Cutaneous Myiasis

This is caused by the accidental deposition of fly larvae on exposed skin.

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Specific Cutaneous Myiasis

This occurs when certain flies actively deposit their larvae on specific areas of the host's skin.

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Treatment of Myiasis

Treatment focuses on removing the larvae, managing secondary infections, and preventing further infestations.

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Maggot Entry

Flies deposit eggs or larvae on food, or larvae enter through open wounds, orifices, or even intact skin.

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Intestinal Symptoms

Maggots in the intestines cause nausea, vomiting, abdominal pain, and diarrhea.

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Urinary Problems

Maggots in the urinary tract cause pain, inflammation, and possibly blood in the urine.

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Accidental vs. Specific Cutaneous Myiasis

Accidental: Fly larvae accidentally deposited on the skin. Specific: Flies actively lay their larvae on specific skin areas.

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Myiasis: Clinical Picture

The symptoms of myiasis (fly larvae infection) differ depending on the tissue infected.

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Myiasis: Diagnosis

Diagnosing myiasis can be done by finding larvae in the lesion, identifying them by their posterior spiracles, and breeding them to adults for easier identification.

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Myiasis: Treatment: Removing Larvae

The most important step in myiasis treatment is removing the larvae to prevent further damage.

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Myiasis: Treatment: Antiseptics and Antibiotics

Secondary infections resulting from myiasis are treated with antiseptics and antibiotics.

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Myiasis: Prevention

Preventing myiasis involves controlling flies (insecticides and nets), protecting food, and keeping wounds covered.

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Study Notes

Myiasis

  • Myiasis is the infection of human tissues by fly larvae (maggots).
  • Myiasis is classified according to the site of invasion (internal or external) and the biological habit of the fly (specific, semi-specific, or accidental).

Internal Myiasis

  • Intestinal Myiasis: Flies deposit eggs or larvae on food or the anus, particularly in children. Larvae enter the intestine, causing nonspecific symptoms (nausea, vomiting, abdominal pain, diarrhea). Living and dead larvae can be seen in stool or vomit. Common Example types: Calliphora, Lucilia, Musca, and Fannia.
  • Urogenital Myiasis: Larvae enter through urinary or genital orifices, or sores in these areas. This can block urine flow, leading to dysuria (painful urination) and inflammation in the urinary tract, with pus, mucus, and blood in the urine. Larvae can be passed in the urine.

External Myiasis

  • Cutaneous Myiasis: Larvae invade wounds or ulcers, or healthy skin, causing boil-like lesions. Severe damage is a potential complication. Common Example types: Wohlfahrtia, Chrysomia, Cordylobia (WC), Dermatobia, and Hypoderma.
  • Ocular or Nasopharyngeal Myiasis: Larvae are attracted to eye or nasal discharge, reaching the conjunctiva or the nose and potentially the brain. Severe pain, tearing, and conjunctival irritation are common. Common Example types: Calliphora, Sarcophaga (CS), Oscestri, and potentially Musca.
  • Aural Myiasis: Purulent ear discharge attracts flies, causing egg/larva deposition in the middle ear, inner ear, or even brain tissue (in severe cases). Common Example types: Wohlfahrtia, Sarcophaga, Lucilia, and Chrysomia.

Myiasis Classification by Biological Habit of the Fly

  • Specific Myiasis (Obligatory): Larvae only invade live tissues (obligatory tissue parasites). Examples: Hypoderma and Dermatobia, causing skin swellings, eye issues (conjunctivitis), nose irritation/discharge, or ear infections.
  • Semi-Specific Myiasis (Facultative): Flies commonly deposit and hatch larvae on dead tissues or on animals. Offensive body discharge can attract them to these areas, leading to larval invasion of inflamed wounds, eyes, or other tissues. Examples: Sarcophaga, Lucilia, Calliphora, Wohlfahrtia and Chrysomia.
  • Accidental Myiasis (Pseudomyiasis): Fly eggs or larvae accidentally ingested in food, such as cheese and vegetables. Can also occur around the anal/urogenital area leading to intestinal or urogenital infestations. Examples: Piophila (in cheese), Drosophila, and Fannia.

Diagnosis of Myiasis

  • Clinical picture based on the infected tissue
  • Finding larvae in lesions
  • Identifying larvae species based on spiracles
  • Breeding larvae to identify adult fly type

Treatment of Myiasis

  • Removal of larvae (excision or endoscopy)
  • Treatment of secondary infections (antiseptics and antibiotics)

Prevention and Control of Myiasis

  • Insecticides and nets to control flies
  • Protecting food from flies
  • Cleaning and dressing wounds with gauze

Questions

  • Q1: Flies that often deposit larvae near the urinary/genital orifices: Fannia.
  • Q2: A 22-year-old patient with a wound, offensive discharge, and larvae: semi-specific cutaneous myiasis.

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