Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
For both species of _Hypoderma_ there are numerous cases on record of
their occurrence in man. Hamilton (1893) saw a boy, six years of age,
who had been suffering for some months from the glands on one side of
his neck being swollen and from a fetid ulceration around the back teeth
of the lower jaw of the same side. Three months' treatment was of no
avail and the end seemed near; one day a white object, which was seen to
move, was observed in the ulcer at the root of the tongue, and on being
extracted was recognized as a full grown larva of _Hypoderma_. It was of
usual tawny color, about half an inch long when contracted, about one
third that thickness, and quite lively. The case resulted fatally. The
boy had been on a dairy farm the previous fall, where probably the egg
(or larva) was in some way taken into his mouth, and the larva found
between the base of the tongue and the jaw suitable tissue in which to
develop.
Topsent (1901) reports a case of "creeping myasis" caused by _H.
lineata_ in the skin of the neck and shoulders of a girl eight years of
age. The larva travelled a distance of nearly six and a half inches. The
little patient suffered excruciating pain in the place occupied by the
larva.
_Hypoderma diana_ infests deer, and has been known to occur in man.
_Oestris ovis_, the sheep bot-fly, or head maggot, is widely distributed
in all parts of the world. In mid-summer the flies deposit living
maggots in the nostrils of sheep. These larvæ promptly pass up the nasal
passages into the frontal and maxillary sinuses, where they feed on the
mucous to be found there. In their migrations they cause great
irritation to their host, and when present in numbers may cause vertigo,
paroxysms, and even death. Portschinsky in an important monograph on
this species, has discussed in detail its relation to man. He shows that
it is not uncommon for the fly to attack man and that the minute living
larvæ are deposited in the eyes, nostrils, lips, or mouth. A typical
case in which the larvæ were deposited in the eye was described by a
German oculist Kayser, in 1905. A woman brought her six year old
daughter to him and said that the day before, about noontime, a flying
insect struck the eye of the child and that since then she had felt a
pain which increased towards evening. In the morning the pain ceased but
the eye was very red. She was examined at about noon, at which time she
was quiet and felt no pain. She was not sensitive to light, and the only
thing noticed was a slight congestion and accumulation of secretion in
the corner of the right eye. A careful examination of the eye disclosed
small, active, white larvæ that crawled out from the folds of the
conjunctiva and then back and disappeared. Five of these larvæ were
removed and although an uncomfortable feeling persisted for a while, the
eye became normal in about three weeks.
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