鸡皮刺螨皮炎病例调查报告  

Case report of mite dermatitis caused by Dermanyssus gallinae(Acari: Dermanyssidae) in Beijing, China

作　　者：李贵昌[1] 程琰蕾 吴海霞[1] 孟凤霞[1] 郭玉红[1] 刘起勇[1] LI Gui-chang CHENG Yan-lei WU Hai-xia MENG Feng-xia GUO Yu-hong LIU Qi-yong(State Key Laboratory oflnfectious Disease Prevention and Control, World Heath Organization Collaborating Centre for Vector Surveillance and Management, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China Taishan Medical University)

机构地区：[1]中国疾病预防控制中心传染病预防控制所媒介生物控制室传染病预防控制国家重点实验室世界卫生组织媒介生物监测与管理合作中心,北京102206 [2]泰山医学院,山东泰安271016

出　　处：《中国媒介生物学及控制杂志》2017年第4期373-375,共3页Chinese Journal of Vector Biology and Control

摘　　要：目的调查2016年北京市某小区一居民出现皮炎的病因。方法通过标本鉴定、现场勘查和文献检索,确定病因并对患者提出建议。结果患者身体出现红色丘疹、瘙痒症状,在其床上有红色小虫活动,经鉴定为鸡皮刺螨;患者使用拟除虫菊酯类杀虫气雾剂喷洒后螨虫消失,经现场调查,未见鼠类活动痕迹及宠物出现;其屋内窗台上经常有麻雀、鸽子活动,国内共报告鸡皮刺螨侵袭人致皮炎6起,均与鸡、麻雀等鸟类有关。结论根据现场勘查结果,推测事件可能为鸟类携带鸡皮刺螨而引起。Objective To investigate the cause of dermatitis cases in a urban area of Beijing in 2016. Methods Specimen identification, field investigation and literature retrieval were performed to find the cause of dermatitis so that the proposal for the patients was put forward. Results The typical symptoms included skin red papules and itch. Some small red bugs were collected from the bed by the patients and the specimens were identified as chicken mite Dermanyssus gallinae. The mites disappeared after the patients sprayed pyrethroid insecticide aerosol in their apartment. We checked the apartment and found no rodent infestation and pet activities. Instead, sparrows and pigeons were seen on the windowsill frequently. There have been six dermatitis case reports infested by D. gallinae in China so far. All mites in the case reports were introduced by chickens or sparrows. Conclusion Based on the investigation results, we speculated that the birds on the windowsill carried the chicken mites into the patient＇s apartment which caused the dermatitis.

关 键 词：鸡皮刺螨 皮炎 病例报告 调查 

分 类 号：R384.4[医药卫生—医学寄生虫学] R757.3[医药卫生—基础医学]