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South American myiasis (dermatobiasis) is caused by the larval stages of sildenafil pills gadfly, which lays eggs on the body of blood-sucking insects (mosquitoes, flies, horseflies). When insects attack a person, the hatched larvae penetrate the skin, where they begin their further development. Around the infiltrated larvae, an infiltrate with a fistulous tract is formed, from which serous-purulent fluid is released.
After 1.5-2 months, having reached a length of 20-25 mm, mature larvae fall out and pupate in the soil. The course of South American myiasis is accompanied by a moderate sensation of pain at the site of the infiltrate.
Intestinal myiasis develops as a result of the accidental ingestion of viagra online larvae with food. When larvae parasitize in the stomach, the main manifestations include nausea, vomiting, pain in the epigastric region. The presence of parasites in the intestine causes a typhoid state, symptoms of long-term enteritis and colitis (abdominal pain, diarrhea, tenesmus, blood in the stool, etc.).
A severe course of myiasis is observed when the larvae parasitize on the mucous membrane of the eyes, nose, and ears.
Genitourinary myiasis occurs when eggs get on dirty underwear and bedding, from which the larvae penetrate the genital mucosa and into the urethra. With urogenital myiasis, a clinic of vulvitis, vaginitis, urethritis, and cystitis can develop.
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In the ocular form of myiasis (ophthalmomyiasis), gadfly larvae parasitize in the conjunctival sac, causing conjunctivitis, iridocyclitis, and the formation of corneal ulcers. In severe cases, they can penetrate into the lacrimal sac and inside the eyeball, causing its destruction. Cases of development of encephalitis with a lethal outcome are described.
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Parasitization of larvae in the nasal passages is accompanied by fever, headache, mucopurulent rhinitis.
The diagnosis of cutaneous myiasis is established by careful examination of the lesion with a magnifying glass and side lighting. At the same time, in the wound, you can see the movement of viagra generic pills, located in colonies. The basis for the recognition of intestinal myiasis is the detection of fly larvae in the study of vomit, feces, urine, urethral and vaginal smears. Patients with suspected otomiasis should consult an otolaryngologist; an ophthalmologist is examined to rule out ocular myiasis.
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Otomiasis caused by Wolfart fly larvae may be accompanied by perforation of the tympanic membrane and penetration of parasites to the meninges.points. Causative agents of abdominal myiasis can parasitize in the oral cavity, paranasal sinuses, and anal canal.
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Treatment of skin myiasis consists in removing the larvae from the lesion by washing the wound with antiseptic solutions (potassium permanganate, furacilin, etc.). To facilitate the removal of the larva, a few drops of sterile oil can be poured into the opening of the infiltrate; deprived of access to air, the parasite is shown on the surface of the skin and can be easily captured with tweezers or a clamp.
