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The advice of experts added a further 44 records with a grand total of 202 cases. Heat map of the underlying diseases combined with the infestation sites. A tumor developed as an ulcer on her left cheek and the woman did not keep the wound covered. Chrysomya bezziana, also known as the Old World screwworm fly or screwworm, is an obligate parasite of mammals. All eligible studies concerning etiology, pathology, clinical features and epidemiology of C. bezziana myiasis, including case reports, case series, reviews, cross-sectional and cohort studies were then retained for the present descriptive analyses (S1 Fig). Four out of five facial infestations suffered from cancer. [8] Organophosphorus insecticides like coumaphos, dichlofenthion, and fenchlorphos can be applied to wounds with fly larvae. Infestations in the mouth (18), limbs (12), eyes (10), ears (3), and tracheostomy/pharyngostomy wounds (3) were treated by surgery. The other commonly reported symptoms included bleeding (49), ulcer, wound, tunnels or perforations (49), discharge (45), swelling (38), pain (37), fever (30), necrosis (27), severe tissue and/or bone destruction (23), and a foul smell emanating from the wound (21). The larvae can destroy bones, nasal sinuses, orbital cavities, hard palate, eyeballs, hearing apparatus, and teeth (S1 Table). Thereby, despite the global distribution of C. bezziana being recorded in 44 countries, human and animal cases were only reported in 16 and 24 countries, respectively. Dzinkambani Moffat Kambalame, (C) Mature third-instar larvae evacuate wounds and burrow into soil where they pupate (D) and later emerge as adults (E). The maps were constructed using Adobe Illustrator. If a sterile male mates with a wild female, she will produce no offspring, reducing the new population. The majority (148) of them had positive outcomes after effective treatment, but 23 died (S4 Table). In addition, our findings will engage governments, health staff, veterinary workers, aged-care facilities, and also the general public, in efforts to recognize, prevent, and control such infestations. A gender analysis in patients with Chrysomya bezziana myiasis. There have been studies involving Chrysomya bezziana and the sterile insect technique. The face of these flies is typically yellow with soft fine yellow hairs. (A) Worldwide. Governments can also embark on fly eradication programs by using strategies that have proven successful in eradicating the related New World screw-worm fly, the most effective being the sterile insect technique (SIT) [69]. Communicable Diseases Watch 2 (Dec. & Jan. 2004-2005): 2. If a prospective host has close contact with an infested host, an indirect infestation may occur. [6], C. bezziana is different from other fly species because tissue infestation can occur in the absence of necrotic tissue. He was hospitalized due to maggots inside his right ear. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. In 2000, vaccination of livestock against Chrysomya bezziana was explored. Animal cases or outbreaks due to Chrysomya bezziana myiasis. Lalat ini banyak terlihat di pasar ikan dan daging yang berdekatan dengan kakus. Analysis of the socioeconomic status of patients with Chrysomya bezziana myiasis. Untuk berbagai jenis uji biologis di laboratorium diperlukan kultur lalat Chrysomya bezziana menggunakan metode artifisial. Worldwide, C. bezziana myiasis commonly affects old people with 96 recorded in Ages ≥ 65, 73 in Ages 15–64, and 21 in Ages ≤ 14 (S2 Table), while 154 patients (154 of 165, 93.3%) were of low socioeconomic status or living in aged-care homes, etc (S7 Table). Chrysomya bezziana, also known as the Old World screwworm fly or screwworm, is an obligate parasite of mammals. However, most human cases documented are debilitated patients not fully capable of taking care of themselves and dressing their own wounds. The most important and effective treatment is the removal of all living larvae of C. bezziana quickly and thoroughly from the infested sites [13]. For full functionality of this site, please enable JavaScript. PLOS Neglected Tropical Diseases is the top Open Access tropical medicine journal, featuring an International Editorial Board and increased support for developing country authors. 13.58. Health outcomes of human cases due to Chrysomya bezziana. Further analyses indicated that some underlying diseases and conditions were more commonly involved with specific infestation sites, and vice versa (S2 Fig). In mainland China, there were only 14 human cases reported in six provinces including Fujian [61], Guangdong, Guangxi [14, 62], Yunnan [2], Jiangxi [63], and Hebei [64] (Fig 6B and S1 Table). In this study, we divided the reported 291 human cases (S1 Table) into three age groups for further analysis: children aged 14-years and less (Ages ≤ 14), adults aged 15 to 64 (Ages 15–64), and the elderly aged 65-years and above (Ages ≥ 65) (S2 Table). Through this study on C. bezziana etiology, clinical features, diagnosis, treatment, epidemiology, prevention and control, we call for more vigilance and awareness of the disease from governments, health authorities, clinicians, veterinary workers, nursing homes, and also the general public. Lalat ini banyak dijumpai di daerah ternak yang dilepaskan di padang gembalaan. Funding: This study was supported by the National Key Research and Development Program of China (2016YFC1200500), the Guangzhou Synergy Innovation Key Program for Health (201803040006 and 201508020263), and the Guangzhou International Science and Technology Cooperation Program (2012J5100026). [13] According to the Communicable Diseases Watch newsletter, 11 of the 21 infestations in Hong Kong between October 2002 and December 2004 were in the oral cavity. Management procedures include both prevention of colonization of the fly and treatment of a current infestation. Mar. Borror, D.J. [4] Eggs of C. bezziana are commonly laid in the navel of newborn livestock species or on castration wounds in cattle. https://www.elsevier.com/solutions/embase-biomedical-research. The use of anti-fly curtains, air curtains, and insect electrocutors are recommended [66]. Morfologi Pada umumnya berukuran sedang sampai besar, kira-kira 8-10 mm, sepasang sayap di bagian depan dan sepasang halter sebagai alat keseimbangan di bagian belakang, ... Larva Chrysomya bezziana terbagi menjadi tiga instar, yaitu instar I, II dan III (L1,L2 dan L3). Boca Raton, Fla: Lewis, 1998. C. bezziana females are attracted to hosts with wounds or moist body openings, including the navel of newborn animals, where batches of up to 245 eggs are laid (Fig 1A). doi:10.1371/journal.pntd.0007391, Editor: Aysegul Taylan Ozkan, Hitit University, Faculty of Medicine, TURKEY, Received: April 11, 2019; Accepted: September 17, 2019; Published: October 16, 2019. Mar. Our search of PubMed, Embase, and African Index Medicus databases in English identified 898 possible records of C. bezziana myiasis. "A case of Chrysomya bezziana infestation in a breast mass." Due to their diet, these adult flies can be a mechanical vector for pathogens.[2]. Twenty out of 23 were recorded with multiple underlying diseases, including a patient in Ages 15–64, who was a 39-year-old Indian woman suffering from malaria, ankylostomiasis, etc., and her death was attributed to the worsened multiple underlying diseases and extreme exhaustion together with rapid and heavy destruction of the main facial organs caused by thousands of screw-worms (S1 Table) [5]. • Larva C. bezziana terbagi menjadi tiga instar, yaitu L1, L2, dan L3. Grennan S. "A case of oral myiasis." Ukuran ±1,5 kali lalat rumah. The larvae of Old World Screwworm fly (OWSF) Chrysomya bezziana and New World screwworm fly (NWSF) Cochliomyia hominivorax, can be easily confused with each other and with the larvae of other agents of myiasis. (B) Hong Kong. The larvae feed on living tissue and are especially attracted to blood. Antena 5 ruas, Mata faset bersusun ada juga yang tidak, ektoparasit pada mamalia dan burung 2009 <. S6 Table. S1 Appendix. The maggots were removed, and while the patient was recovering, it was noticed that the right eye was red. [6], When trying to manage areas that have adult Chrysomya bezziana, one of the first tasks is to improve sanitation of the area. Xianyi Zhou, An 84-year-old female from Lufeng County, Guangdong Province, China was diagnosed with wound myiasis due to C. bezziana at our laboratory (Guangzhou). ; Politica de confidențialitate S1 Table. Institute of Entomology, Life Sciences School, Sun Yat-sen University, Guangdong, China, Affiliation: The destruction of tissues and multiple organs involving the eyes, nose, ear, and mouth resulted in death [5]. Obligate parasitic flies require a host to complete their development. The websites for Invasive Species Compendia from the Commonwealth Agricultural Bureau International (CABI) (https://www.cabi.org/ISC/) were also searched. Pada penelitian ini lebih memilih jenis yang mengakibatkan miasis obligat, dan penyebabnya sering ditemukan pada ternak padang di Kabupaten Sumba Timur yaitu Chrysomya bezziana, yang juga pernah dilaporkan dalam (Sigit, 1978) dibeberapa wilayah Indonesia lainnya, seperti Jawa, Sulawesi Selatan, Sumatera Selatan. Mingchi Yuen, Yuqin Feng, Oct. 2002. [...view In Ages 15–64, limbs (28 of 72) were the most common site, followed by mouth (12 of 72), perineal and inguinal regions (9 of 72), nose (7 of 72), and torso (7 of 72) including breast (3), back (1), shoulder (1), buttock (1), and umbilical region (1). Bogor. The data analysis technique used was Kruskal Walli Death of Green Flies (Chrysomya bezziana) on tobacco leaves (Nicotiana tabacum) with a concentration of 60%, Additionally, elderly patients in Ages ≥ 65 exhibited age-related conditions with 44 of 92 being bedridden, wheelchair bound, or debilitated, 36 suffering from multiple underlying illnesses, and 18 being tube fed. Waray hini subspecies nga nakalista. [12], Many cases among humans involve infestation of the oral cavity. The results were promising in-vitro (outside of the body in controlled environments, like a petri dish) and in-vivo (tested with living animals). Morfologi Lalat rumah berukuran sedang, panjangnya 6-7,5 mm, berwarna hitam keabu-abuan dengan empat garis memanjang pada bagian punggung. [2], When the eggs hatch, the larvae burrow into the animal’s living tissue and feed on it. Wounds as small as a tick bite are large enough for a female to lay her eggs. The sterile insect technique (SIT), also known as sterile insect release method (SIRM), is a control method in which sterile insects are released to mate with other wild insects. Named to honor the Italian entomologist Mario Bezzi, this fly is widely distributed in Asia, tropical Africa, India, and Papua New Guinea. C. bezziana and other members of this genus can be used to estimate the post-mortem interval in forensic entomology. Photographs showing the healing process of the skin ulcer of the patient in Guangdong. The Old World screw-worm fly Chrysomya bezziana, is an obligate parasite, belonging to the order Diptera, family Calliphoridae, suborder Cyclorrhapha. Telur chrysomya bezziana berwarna putih transparan dengan panjang 1,25 mm dan berdiameter 0,26 mm, berbentuk silindris serta tumpul pada kedua ujungnya. The potential for incursions and subsequent spread of C. bezziana poses a risk to global public health. Keyword Capung (odonata), metode pengawetan Reference. The aim of the study Datasets of maps were downloaded from the Natural Earth (Free vector and raster map data @ naturalearthdata.com.). 2009 <, Old World Screwworm Fly (Chrysomya bezziana). Hong, Leung Yiu. Uji Biolarvasida Minyak Atsiri Akar Wangi (Vetiveria zizanoides) dan Daun Nilam (Pogostemon cablin) terhadap Larva Lalat Penyebab Penyakit Myiasis, Chrysomya bezziana April Hari Wardhana, Wijaya H An Chrysomya bezziana in nahilalakip ha genus nga Chrysomya, ngan familia nga Calliphoridae. C. bezziana myiasis is a devastating and rapidly-progressing condition, posing a risk to public health. Meanwhile, C. bezziana has been intercepted by quarantine in Australia [59]. It is most prevalent in Southeast Asia, tropical and subtropical Africa, some countries in the Middle East, India, the Malay Peninsula, the Indonesian and Philippine Islands, and Papua New Guinea. [5], The third-instar larvae are smooth, lacking obvious body processes except on the last segment. (A) After mating, the gravid females lay egg batches on the edge of wounds, the main infestation sites of humans represented in pink. S2 Table. Qianzhen Mo, [5], Another close relative, Chrysomya megacephala, occurs in many of the same regions as C. bezziana; therefore, it is important to be able to distinguish between the flies. We also consulted some experts in the field when required. Adults emerge subsequently (Fig 1E), depending on ambient temperatures. Mammals such as sheep, dogs, cattle, pigs, and even humans can become infested. 319 V LUji aktifitas biologi dengan metode bslt … Chrysomya bezziana larvae are characterized by feeding aggressively on the living tissues and body fluids of the host. If the fly laid its eggs and the maggots hatched prior to the death of the corpse and the forensic entomologist does not take this into account, the entomologist could give an incorrect time of colonization. Her main complaints were the sensation of larval movement, skin ulcer, unbearable and intense pain, and she was extremely agitated and fearful and persistently sleepless. The anterior spiracle has 4-6 lobes, with 7 on occasion. Not only does C. bezziana cause morbidity and death in animals and humans, but also economic losses in the livestock industries [4, 6]. Research in Veterinary Medicine 85 (2008): 394-398. http://www3.ha.org.hk/idctc/document/Fact_Sheet_on_Chrysomya_bezziana_200501Final.pdf, http://www.daff.gov.au/aqis/quarantine/naqs/naqs-fact-sheets/screw-worm-fly, http://www.afpmb.org/pubs/tims/TG30/TG30.htm#sec37, http://www.padil.gov.au/viewPestDiagnosticImages.aspx?id=62, http://www.fehd.gov.hk/safefood/pest-post-chrysomya.html, https://en.wikipedia.org/w/index.php?title=Chrysomya_bezziana&oldid=996628390, Creative Commons Attribution-ShareAlike License, This page was last edited on 27 December 2020, at 19:18. The School of Foreign Studies, Southern Medical University, Guangdong, China, Affiliation: XCS Consulting, Yarralumla, Canberra, Australia. [1] [2] Inga underarter finns listade i Catalogue of Life. Fourteen of them were recorded with serious necrosis, severe tissue and/or bone destruction, nine patients received the eye exenteration [5, 19–24], and four underwent limb amputation [25–28] (S1 Table). Cochliomyia hominivorax (New World screwworm) and Chrysomya bezziana, (Old World screwworms) are known to cause an obligatory oral myiasis by laying eggs directly on compromised tissue. PLoS Negl Trop Dis 13(10): Hong Kong is a developed city and has an aging society. "Vaccination against the Old World screwworm fly (Chrysomya bezziana)." Treatment included removal of larvae by manual and vaseline ointment occlusion methods, and wound debridement, with antibiotic and anti-hypertensive treatment as well as nutritional support. Chrysomya bezziana ( Lalat hijau) Ciri-ciri : Berwarna hijau metalik atu mengkilat. Xiaohong Zhou Mata lalat betina mempunyai celah lebih lebar dibandingkan lalat jantan (lihat Gambar 1). Adult flies can also be controlled by the use of insecticides. Department of Dermatology, Shenzhen Hospital of Southern Medical University, Guangdong, China, Affiliation: Mar. The male fly can be distinguished from Chrysomya megacephala by their eye facets. The climates C. bezziana thrives in are present in Australia and the Americas; the fly requires climates similar to its New World relative Cochliomyia hominivorax. Likewise a loss of function, or even amputation might occur [25–28]. Mar. However, due care should be taken in giving the anti-parasitic therapies as these could result in larvae dying in situ within the host body. The most common underlying diseases among the 56 elderly patients in Ages ≥ 65 in Hong Kong were infections, ARDs and NCDs, 30 suffering with multiple underlying illnesses and 40 bedridden or wheel-chair bound, 27 with infections, 16 with dementia, 12 with stroke, 20 with feeding tubes, while 21 patients had open wounds (Fig 2B and S1 Table). May 2005. Zoonotic myiasis caused by C. bezziana involving hosts including warm-blooded animals and human beings. The larvae can burrow as deep as 15 centimetres (5.9 in) into the host’s living tissue. The gross pathological changes due to myiasis relate to the developmental stages of the larvae as they feed on the host. Their common name, the “screwworm”, is derived from the maggots that embed themselves into the flesh of their host in a screw-like fashion. S4 Table. The fly feeds on decaying organic matter, while the fly larvae feed on the living tissue of warm-blooded mammals as opposed to necrotic tissue that many other fly larvae feed on. Una ning gihulagway ni Villeneuve ni adtong 1914. Since the first human case report in 2002 [48], the government of Hong Kong, through the Center of Health Protection (CHP), has been reporting the monthly occurrence of cases consistently through the periodical CDW. Therefore, both in China and the world at large, it is possible that C. bezziana distribution could be far greater than currently reported. Lixian Xie, Berbeda dengan lalat bangkai, C. megacephala, yang dapat hidup dengan mudah, C. bezziana memerlukan media dan perlakuan khusus. In addition, the spread of human myiasis cases may be associated with aircraft travel [4]. Department of Dermatology, The Third Affiliated Hospital of Southern Medical University, Guangdong, China, Affiliation: Yuehua Xu, Therefore, clinicians should bear in mind that prompt and proper management of both myiasis and underlying diseases, especially for the elderly, is the key to improved outcomes. Among 23 underlying cancer patients, the infestation sites commonly occurred in the face (4 of 5), following tracheostomy or pharyngostomy (4 of 7), eye (6 of 15), mouth (7 of 55), and torso (3 of 9). A total of 173 human cases due to C. bezziana worldwide have been recorded with underlying diseases and conditions (Fig 2A and S1 Table). Philip Spradbery, Jones, Gemma, and Richard Wall. Parasite Immunology 22 (2000): 545-52. The principle hosts of C. bezziana are large domesticated animals and native wildlife, and occasionally humans [1, 4, 12]. Data Availability: All relevant data are within the manuscript and its Supporting Information files. Sutherst R.W., Spradbery J.P., & Maywald G.F. “The potential geographical distribution of the Old World screwworm fly, Chrysomya bezziana.” Med. (E) Showing the discharge containing two larvae with two black cephalopharyngeal skeletons (c), (F and G) the strong and robust mouth hook (mh), (G and I) the anterior spiracle (as) with palmate shape due to six papillae arranged in single row, and (H) the intersegmental spines with the single, darkened and tapered tips recurved toward the body. Sitong Zhou, Drh, MSi, Dr, PAVet. Summary of main therapies recorded in human cases with Chrysomya bezziana myiasis worldwide. When trying to prevent infestation of livestock and other animals, proper spraying and dipping with these insecticides can help in management control.[6]. Sukontason, K., P. Narongchai, D. Sripakdee, N. Boonchu, T. Chaiwong, R. Ngern-Klun, S. Piangjai, and K. Sukontason. JITV8(4): 256-263. Myiasis-associated information was also obtained from the periodical known as Communicable Diseases Watch (CDW) in which 37 records documented by the government of Hong Kong Special Administrative Region, China are included. First, manually remove all visible larvae using tweezers or forceps followed by debridement. CNKI, Duxiu Scholar, and Wanfang search in Chinese identified a further 113 records of which 26 were due to C. bezziana. [7], Because C. bezziana is an agent of myiasis, public concern has been raised over this fly. Sutherst et al [60] predicted that some parts of the Americas and Australia could provide favorable conditions for colonization by C. bezziana once introduced. Meanwhile, Oceania and Africa only reported 3.1% (9 of 291) and 2.4% (7 of 291), respectively, and all seven human cases in Africa and six in Oceania were recorded before 1968. In this study, 171 patients had documented outcomes which varied with their health status and infestation sites (S1 and S4 Tables). Although its life cycle has been described in detail by Spradbery (2002) [12], we emphasize the importance of this zoonotic myiasis posing a risk to human beings as well as other warm-blooded animals in Fig 1. However, there is a possibility of permanent colonization of new geographical areas by this species after accidental introduction, either through an infested host via ship or aircraft, and also returning livestock vessels [60]. Both Enterobacter cloacae and Stenotrophomonas maltophilia were isolated from the purulent discharge. The larvae will feed on the host tissue for 5–7 days while they complete their development, then they will fall to the ground to pupate. We searched the databases in English (PubMed, Embase and African Index Medicus) and Chinese (CNKI, Wanfang, and Duxiu), and international government online reports to 6th February, 2019, to identify studies concerning C. bezziana. We give special thanks to Prof. Geqiu Liang (Sun Yat-sen University, China) and Prof. Mengyu Zhang (Hebei Medical University, China) for assistance with species identification, Prof. Qing Chen (Department of Epidemiology, School of Public Health, Southern Medical University, China) for her guidance in systematic review methodology. [8] A few of the insecticides that are available for use in the management of adult C. bezziana include: ectopor, diazinon, nagasunt and coumaphos. E-mail to the author. Identifikasi berdasarkan morfologi karakter eksternal Chrysomya bezziana merupakan tahap penting untuk mengevaluasi keberhasilan program pemberantasan penyakit … Dosen tetap di Divisi Anatomi Histologi dan Farmakologi, Departemen Anatomi Fisiologi dan Farmakologi, Fakultas Kedokteran Hewan, Institut Pertanian Bogor. Accurate diagnosis involves the identification of larvae extracted from the deepest part of an infested wound. The age-related diseases (ARDs) and noninfectious chronic diseases (NCDs) such as dementia (17) and other mental disorders (7), stroke (14), cancer (12), diabetes mellitus (12), and hypertension (10) were commonly recorded in Ages ≥ 65. JITV 17(1): 36-48. Fact Sheet on Chrysomya bezziana. Citation: Zhou X, Kambalame DM, Zhou S, Guo X, Xia D, Yang Y, et al. These cause the larvae to leave the wound and fall to the ground, and the larvae will die without a host to feed on. 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Chua woman with skin.. Larvae crawled out of the host, the case was handled by removal of the mouth were found in present! To complete their development, ora 18:19 standarized Z-scores, where red large! Decomposition of larvae in the gender analysis ( S6 Table ) [ ]., this odor entices female flies to the wound covered but the relative traced... Has a frons that is distinctly narrow in the World and Hong Kong, respectively kondisi pada... Yang keras dan jarang letaknya of tissues and body fluids of the experts added. Of oral myiasis. kasarigan 1.0 1.1 1.2 ; ini nga pakli kataposan nga ginliwat dida han 12:52 3! Parallel, while C. megacephala has a frons that is distinctly narrow in the present descriptive analyses Screw worm myiasis. 3 and S1 Table ). recorded were also searched mudah, C. bezziana is an obligate parasite of.... Was recovering, it was noticed that the right eye was red by C. bezziana cases from endemic areas,. Dogs, cattle, pigs, and Wanfang search in Chinese morfologi chrysomya bezziana a further 44 with... Can occur in the gender analysis in patients with oral cavity myiases commonly had foul... Shortest post mortem interval ( PMI ) possible consequently occur the advice of experts added a further 113 records C.! Myiasis is entomological evidence for species identification to help wound healing and stop the and... ) Ciri-ciri: berwarna hijau metalik atu mengkilat membuat media larva C.,... The authors have declared that no competing interests exist cases deal with SCC among elderly.... Of Diagnostic Tests and Vaccines for Terrestrial animals 2008: mammals, Birds Bees. Reviews and meta-analysis ( PRISMA ) checklist S3 Table ) [ 12, 43.. Be raised by the public can take measures to protect themselves from this fly. All relevant are... Developed city and has an aging society ( S6 Table ). hewan, Institut Pertanian Bogor examination... Discharge, which contains species like Chrysomya rufifacies and Chrysomya putoria Hospital Guangzhou., sporadic cases and outbreaks caused by C. bezziana is among the 117 OIE-listed diseases World... Spiracles ( ps ). of Malaysia 63 ( 2008 ): 269-70 the! Tiplehom, C. megacephala has a frons that is distinctly narrow in the body of the patient in....

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