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[大理市因食用螺类食物引发广州管圆线虫病疫情调查]

[Investigation on outbreak of angiostrongyliasis cantonensis due to consumption of snail food in Dali City].

作者信息

Chen Feng, Chen Shao-Rong, Li Ke-Rong, Li Ting-Hua, Fang Wen, Luo Jia-Jun

机构信息

Dali Institute of Schistosomiasis Control, Yunnan Province, Dali 671000, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2011 Dec;23(6):687-90.

Abstract

OBJECTIVE

To investigate the potential cause of an outbreak of eosinophilic meningitis in Dali City in March, 2011.

METHODS

A retrospective investigation was performed among 18 consumers who had meal together. The clinical documents of inpatients were analyzed and the diagnoses were checked. The outpatients were investigated through a case survey. Pomacea snails on sale were examined for the infection status of Angiostrongylus cantonensis.

RESULTS

Of 18 persons, 16 consumed Pomacea snail food and 9 were infected with an infection rate of 56.3%. The two persons who did not consumed snail food were not infected. Serum samples of seven patients were examined for antibody to Angiostrongylus cantonensis in peripheral blood and 3 were proved positive (42.9%). The snails consumed by the patients came from the market, and the surveillance data showed that the infection rate of Angiostrongylus cantonensis of Pomacea snails was 7.3%.

CONCLUSION

According to the epidemiological survey, clinical manifestations, and laboratory examinations, the outbreak of eosinophilic meningitis is due to the consumption of Pomacea snails infected with Angiostrongylus cantonensis.

摘要

目的

调查2011年3月大理市嗜酸性粒细胞性脑膜炎暴发的潜在原因。

方法

对18名一起就餐的消费者进行回顾性调查。分析住院患者的临床资料并核对诊断。通过病例调查对门诊患者进行调查。检查在售的福寿螺广州管圆线虫感染情况。

结果

18人中,16人食用了福寿螺食物,9人被感染,感染率为56.3%。未食用螺类食物的两人未被感染。检测7例患者外周血广州管圆线虫抗体,3例呈阳性(42.9%)。患者食用的螺类来自市场,监测数据显示福寿螺广州管圆线虫感染率为7.3%。

结论

根据流行病学调查、临床表现及实验室检查,嗜酸性粒细胞性脑膜炎暴发是由于食用了感染广州管圆线虫的福寿螺所致。

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