Ivanov K S, Antonov V S, Knysh G G, Khadzhaeva A N, Antykova L P, Lavrova V P, Nepomniashchaia L P, Kudriavtseva O V, Aleksandrova L I
Med Parazitol (Mosk). 1990 Jul-Aug(4):41-2.
In 1988-1989 two outbreaks of trichinosis were recorded. The first case was group disease developed in 3 members of the family. The source of infection was rissoles rolled in cabbage leaves [correction of goloubets] stuffed with minced pork. The second outbreak affected 13 persons who had eaten home-made pork sausage and fat. All the patients displayed fever, weakness, muscular pain, subcutaneous fat edema, predominantly of the face. The patients suffered from dry mouth, thirst, deteriorated appetite, exanthema, eosinophilia, more occasionally, nausea, vomiting, abdominal pain and diarrhea. Trichinosis was confirmed serologically. Vermox therapy (300 mg per day) was performed for 7 to 12 days. The disease was severe, moderate and mild in 5, 7 and 4 patients, respectively. A brief abstract from a case record of a patient with severe trichinosis complicated by allergic myocarditis is presented. The severity of the disease was associated with the infecting dose and the time at which etiotropic therapy was started. Vermox had a good therapeutic effect and caused no adverse events.
1988年至1989年期间记录了两起旋毛虫病疫情。第一起病例是该家庭3名成员感染的群体性疾病。感染源是包心菜叶包裹的猪肉馅炸肉圆[原文“goloubets”的修正]。第二起疫情涉及13名食用了自制猪肉香肠和肥肉的人员。所有患者均出现发热、乏力、肌肉疼痛、皮下脂肪水肿,主要集中在面部。患者还伴有口干、口渴、食欲减退、皮疹、嗜酸性粒细胞增多,偶尔出现恶心、呕吐、腹痛和腹泻。旋毛虫病经血清学确诊。采用甲苯达唑疗法(每日300毫克),持续7至12天。病情严重、中度和轻度的患者分别有5例、7例和4例。文中呈现了一名重症旋毛虫病合并过敏性心肌炎患者病例记录的简短摘要。疾病的严重程度与感染剂量以及病原治疗开始的时间有关。甲苯达唑具有良好的治疗效果,且未引起不良事件。