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[人类旋毛虫病。一例模拟多发性肌炎的病例]

[Human trichinosis. A case simulating polymyositis].

作者信息

Cervera-Castillo Hernando, Torres-Caballero Verónica, Martínez-García Elsa, Blanco-Favela Francisco

机构信息

Hospital General Regional 25, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Instituto Mexicano del Seguro Social, Distrito Federal, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2009 May-Jun;47(3):323-6.

Abstract

The human trichinosis is a cosmopolitan rare zoonosis in Mexico. It presents clinically, with an infectious toxic pattern. Typical symptomatology includes: fever, diarrhea, facial edema and myalgias, which can resemble other illnesses like typhoid fever, angioneurotic edema, septicemia, rheumatic disease-like vasculitis and dermato-polymyositis. The treatment is based on the use of antiparasites. In this paper a trichinosis case is described in a woman, 29 years old who lives in the metropolitan area, with a clinical pattern that suggest polymyositis. The diagnosis was confirmed through a muscle biopsy. The treatment was albendazole and prednisone with successful results.

摘要

人体旋毛虫病在墨西哥是一种世界性的罕见人畜共患病。临床上呈现感染中毒型。典型症状包括:发热、腹泻、面部水肿和肌痛,这些症状可能类似于其他疾病,如伤寒、血管神经性水肿、败血症、风湿性疾病样血管炎和皮肌炎。治疗基于使用抗寄生虫药物。本文描述了一名居住在大都市区的29岁女性旋毛虫病病例,其临床症状提示为皮肌炎。通过肌肉活检确诊。治疗药物为阿苯达唑和泼尼松,效果良好。

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