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包虫病导致的猝死:突尼斯北部的一项为期六年的研究。

Sudden death due to hydatid disease: a six-year study in the northern part of Tunisia.

作者信息

Khelil Mehdi Ben, Allouche Mohamed, Banasr Ahmed, Gloulou Fatma, Benzarti Anis, Zhioua Mongi, Haouet Slim, Hamdoun Moncef

机构信息

Service de Médecine Légale de Tunis, Hôpital Charles Nicolle, 138 Boulevard du 9 avril 1938, Tunis, 1006, Tunisia.

Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunis, 1007, Tunisia.

出版信息

J Forensic Sci. 2013 Sep;58(5):1163-1170. doi: 10.1111/1556-4029.12172. Epub 2013 Jul 3.

DOI:10.1111/1556-4029.12172
PMID:23822140
Abstract

Human ecchinococcosis also known as hydatid disease is a zoonotic infection caused by the tapeworm Ecchinococcus with 2-3 Million cases worldwide. We hereby report a 6 years period study of Sudden death due to hydatidosis aiming to analyze the epidemiological criteria, death circumstances, and autopsy observations attributed to hydatid disease. During the past 6 years, 26 death cases were due to hydatid disease. Our analysis shows that the sex ratio (M/F) was 1.6, the mean age was 31-year old, and 65% of the subjects lived in rural places. In 17 cases, death occurred in the victim's place, five victims died after a heavy exercise, and in two cases, death occurred immediately after trauma. At autopsy, 91% of the cysts were found in the liver. In three cases, death followed a septic state, and in two cases, it followed an acute respiratory failure. Death was attributed to anaphylaxis in 17 cases.

摘要

人体包虫病也称为囊尾蚴病,是由绦虫细粒棘球绦虫引起的一种人畜共患感染病,全球约有200 - 300万病例。我们在此报告一项为期6年的关于囊尾蚴病导致猝死的研究,旨在分析其流行病学标准、死亡情况以及与囊尾蚴病相关的尸检观察结果。在过去6年中,有26例死亡病例归因于囊尾蚴病。我们的分析表明,男女比例(男/女)为1.6,平均年龄为31岁,65%的患者居住在农村地区。17例患者在住所死亡,5例患者在剧烈运动后死亡,2例患者在受伤后立即死亡。尸检发现,91%的囊肿位于肝脏。3例患者死于败血症,2例患者死于急性呼吸衰竭。17例患者的死亡归因于过敏反应。

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