Perduri Riccardo, Gobba Stefania
Department of Public Health Sciences, Postgraduate School of Occupational Medicine, Chair of Occupational Medicine, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy.
Cases J. 2009 Sep 17;2:7736. doi: 10.1186/1757-1626-0002-0000007736.
In well-developed countries scant attention is currently devoted to the risk of unknown exposure to aflatoxins, highly toxic and carcinogenic compounds. Nevertheless, unexpected ingestion of foods contaminated by these toxins can occasionally occur virtually worldwide.
A 38-year-old woman living in Northern Italy developed unexplained abdominal symptoms after ingestion of aflatoxin-contaminated meat. The possible relation between symptoms and aflatoxins ingestion, the potential risk of hepatocellular carcinoma and the medical management of the case are discussed.
In well-developed countries aflatoxins exposure should be considered in case of unexplained abdominal symptoms. Cancer risk cannot be assessed, nevertheless individual counselling and periodical medical examinations are recommended.
在发达国家，目前人们很少关注未知黄曲霉毒素暴露的风险，黄曲霉毒素是剧毒且致癌的化合物。然而，实际上在全球范围内偶尔会意外摄入被这些毒素污染的食物。
一名居住在意大利北部的38岁女性在摄入受黄曲霉毒素污染的肉类后出现不明原因的腹部症状。讨论了症状与黄曲霉毒素摄入之间的可能关系、肝细胞癌的潜在风险以及该病例的医疗处理。
在发达国家，如果出现不明原因的腹部症状，应考虑黄曲霉毒素暴露。虽然无法评估癌症风险，但建议进行个体咨询和定期体检。
