uwh...serem bgt,,tu nmanya penyakit apa ia???tersus pnyebabnya ap?
An old woman in her 70s living in Aba, Abia State, and whose doctors do not want to disclose her identity, has not ceased from thanking God for delivering her from the vicious attack she experienced when her right breast was infested by the larval stage of an insect commonly known as the Tumbu fly.As Daily Sun learnt, the woman hung out her wet bra to dry in the sun. The bra was apparently turned inside out. While the bra was dripping off water to dry, a fertilized female Tumbu fly perched on it, to lay her eggs. When the woman wore the dried bra, the heat from her breast warmed the eggs and they hatched into tiny larvae, 14 of which immediately infested the right breast by burrowing into it in close proximity.The unwelcome guests began to feed voraciously on the abundant supply of fatty tissue and other nutrients in the breast. Naturally, the woman’s immune system, sensing a foreign presence, mobilised her defences and tried to cordon-off the area surrounding each larva. Initially, the woman felt no physical pain.However, within one week, as the rapid linear and sideways growth of the larvae continued, the area surrounding each larva became itchy, swollen and painful, looking so much like a boil, a medical condition described as “furuncular myiasis of the breast” by the two surgeons, Dr. Charles Adeyinka Adisa and Dr. Augustus Mbanaso who performed the surgery on the woman at the Abia State University Teaching Hospital, Aba (ABSUTH).When the woman went to the hospital, a medical doctor, who first saw her, misdiagnosed the case as “multiple itchy, painful boils of the breast” (mastitis) and referred her to the surgery clinic of ABSUTH. Mastitis is a medical condition in which the breast becomes inflamed due to microbial infection. According to Adisa, the misdiagnosis of the condition was caused by the rarity of the case.“Cutaneous myiasis of the breast due to infestation by the larva of tumbu fly is rare. To the best of our knowledge, only one case has been reported in the English literature”, Adisa said.In reporting this case in a medical journal, they noted that “this rarity calls for an awareness of its possibility as a cause of furuncular breast lesions, especially in areas where the Tumbu fly is endemic or in patients returning from such areas. As it can be easily confused with other furuncular breast lesions (like tuberculosis, mycosis, actinomycosis, furunculosis, chronic breast abscess and fungating malignancies), this awareness is important to avoid misdiagnosis or delay in diagnosis.”Myiasis is the term applied to the infestation of live humans and animals with the larvae (maggots) of two winged. In humans, infestation may affect the skin, wounds, intestines and body cavities (oral, nasal, aural, ocular, sinusal, vaginal and urethra). When open wounds are involved, the myiasis is known as traumatic and when boil-like, the lesion is termed furuncular.Tumbu Fly is also variously known as “Mango Fly”, Skin maggot fly or Verde Cayor. It is endemic in tropical Africa. The other flies that cause furuncular myiasis include Lund fly, found in the rainforest areas of tropical Africa and human botfly, which is endemic in Central and South America.“On the first day the woman went to the hospital, the pain and swelling of the right breast were so severe that she was taken to the emergency unit of the hospital where a diagnosis of right breast mastitis was made before her referral to us.“The woman often visits her village where the Tumbu fly is endemic. She usually spreads her washed dresses on a line near the bush and does not iron them before wearing them.When we examined the woman, one could see quite clearly that the woman was in severe painful distress. There were multiple discharging sinuses on the right breast and each sinus had a whitish object at the opening which showed some wriggling movement.The doctors diagnosed that the woman had cutaneous myiasis of the right breast. Subsequently, a minor surgery was performed under local anaesthesia and 14 larvae were extracted from the affected area. She was placed on ampicillin/cloxacillin capsules, tetanus toxoid injection, analgesics and daily wound dressing with eusol.After one week, all the furuncles healed. Adisa happily disclosed that the woman has been doing well since then with no recurrence of the disease. As a measure to prevent infestation by Tumbu fly larva,Adisa and Mbanaso strongly advise that people should always iron their clothes before wearing them. This they say ensures that the eggs of the fly laid on clothes are killed by the hot iron.
Keren sob postingannya. . . REP +1, cek profile dah biar semangat posting yang beginian
