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[关于旋毛虫病疫源地的观察]

[Observations on a trichinellosis focus].

作者信息

Drăghici O, Vaşadi T, Drăghci G, Codrea A, Mihuţa A, Drăgan S, Biro S, Mocuţa D, Mihuţa S

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1976 Apr-Jun;21(2):99-104.

PMID:134448
Abstract

Following the consumption of porc infested with Trichinella spiralis, there were 21 cases of trichinellosis, of which 15 clinical forms and 6 subclinical cases. The clinical picture was polymorphous, characteristic. In one case of an expectant mother, the pregnancy evolved up to term and the child was born normally. Histologic examination of the maternal placenta revealed the presence oe encapsulated parasites. Eosinophilia, increasing up to 50%, was found in all the cases, as well as a slight increase in transaminases, alpha2-globulins, leukocytes and erythrocytic sedimeatation rate. The diagnosis was established on the basis of the epidemiologic and immunologic data, clinical picture, eosinophilia and especially the positive trichinoscopic examination of the infested meat and muscle biopsy puncture performed in two of the patients. In 7 cases Mintezol combined with Prednison was administered. Thrombophlebitic complications developed in 4 cases and corticotherapy was interrupted since it was considered to contribute to the complications.

摘要

食用感染旋毛虫的猪肉后,出现了21例旋毛虫病,其中15例为临床型,6例为亚临床型。临床表现多样且具有特征性。有1例孕妇,孕期顺利直至足月,孩子正常出生。对产妇胎盘进行组织学检查发现有包囊化的寄生虫。所有病例均出现嗜酸性粒细胞增多,最高可达50%,同时转氨酶、α2球蛋白、白细胞及红细胞沉降率略有升高。根据流行病学和免疫学数据、临床表现、嗜酸性粒细胞增多情况,尤其是对感染猪肉进行旋毛虫镜检阳性以及对2例患者进行肌肉活检穿刺结果确诊。7例患者使用甲苯达唑联合泼尼松治疗。4例出现血栓性静脉炎并发症,因认为皮质激素治疗会促使并发症发生,故中断治疗。

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