Lupinc L, Markwalder K, Nigg C
Medizinische Poliklinik, Departement für Innere Medizin, Universitätsspital Zürich.
Praxis (Bern 1994). 2003 Dec 17;92(51-52):2212-6. doi: 10.1024/0369-8394.92.51.2212.
We describe reference to a family from Bosnia that the diagnosis of Trichinellosis can be difficult despite notice of travel-history and eosinophilia but lack of further epidemiological datas and due to the rarity of this zoonosis. Clinical pattern of trichinellosis are fever, headache, myalgia, periorbital oedema, less frequently diarrhea and abdominal pain. Dreaded complications are myocarditis and encephalitis. High eosinophilia and increased creatine phosphocinase activity are the most frequently observed laboratory features. The detection of specific circulating antibodies or the parasitological examination of a muscle biopsy will confirm the diagnosis. The medical treatment includes albendazol and steroid.
我们描述了一个来自波斯尼亚的家庭，尽管注意到旅行史和嗜酸性粒细胞增多，但由于缺乏进一步的流行病学数据以及这种人畜共患病的罕见性，旋毛虫病的诊断可能会很困难。旋毛虫病的临床症状包括发热、头痛、肌痛、眶周水肿，较少见腹泻和腹痛。可怕的并发症是心肌炎和脑炎。高嗜酸性粒细胞血症和肌酸磷酸激酶活性增加是最常观察到的实验室特征。检测特异性循环抗体或对肌肉活检进行寄生虫学检查将确诊。医学治疗包括阿苯达唑和类固醇。
