Yera Hélène, Bory Sotharith, Khieu Virak, Caron Yannick
Laboratoire de Parasitologie Mycologie, National Reference Laboratory for Human Trichinellosis, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Centre Université de Paris, Institut Cochin (U1016 Inserm/UMR8104 CNRS/UMR-S8104), Paris, France.
Infectious Diseases Unit, Medicine Department, Calmette Hospital, Phnom Penh, Cambodia.
Food Waterborne Parasitol. 2022 Jul 16;28:e00171. doi: 10.1016/j.fawpar.2022.e00171. eCollection 2022 Sep.
To present the situation of human trichinellosis in Southeast Asia in the last 20th years we analyzed outbreak data and seroprevalence studies from 2001 to 2021 for this region. We queried PubMed (https://pubmed.ncbi.nlm.nih.gov) using keywords "", "human" and "Southeast Asia". In addition, we described species circulating in this region. In Southeast Asia, in communities eating pork, several cultural factors play important roles in the transmission of to humans. The seroprevalences of infection in humans are known for Laos and Vietnam to be 0-10.5% in some villages. Also, in Cambodia, Laos, Malaysia, Thailand and Vietnam relatively few human outbreaks (13) and cases (1604) have been recorded during the last 21st years. Their associated mortality rates were low (0.75%). and were transmitted after consumption of raw or undercooked pork from domesticated and wild pigs. transmission was related to consumption of wild boar. In this region, trichinellosis was frequently subclinical and clinical or severe cases were sporadic and occurred more in male patients. Nevertheless, it is likely that trichinellosis is widely under-diagnosed and is an endemic disease.
为呈现东南亚地区20世纪最后20年的人体旋毛虫病情况,我们分析了该地区2001年至2021年的疫情数据和血清学患病率研究。我们使用关键词“旋毛虫病”、“人类”和“东南亚”在PubMed(https://pubmed.ncbi.nlm.nih.gov)上进行查询。此外,我们描述了该地区流行的旋毛虫种类。在东南亚,在食用猪肉的社区中,一些文化因素在旋毛虫向人类传播中起重要作用。在老挝和越南,一些村庄人体旋毛虫感染的血清学患病率为0 - 10.5%。同样,在柬埔寨、老挝、马来西亚、泰国和越南,在过去21年中记录的人体疫情相对较少(13起),病例相对较少(1604例)。其相关死亡率较低(0.75%)。旋毛虫通过食用来自家猪和野猪的生的或未煮熟的猪肉传播。本地毛形线虫的传播与食用野猪有关。在该地区,旋毛虫病常为亚临床型,临床或重症病例为散发性,且男性患者更多见。然而,旋毛虫病很可能广泛存在诊断不足的情况,并且是一种地方病。