Department of Respiratory and Critical Care Medicine, Zhong-nan Hospital of Wuhan University, 169 Eastlake Road, Wuhan, 430071, China.
BMC Infect Dis. 2023 Feb 6;23(1):77. doi: 10.1186/s12879-023-08047-9.
Trichinosis is a worldwide food-borne zoonotic parasitic disease, which is mainly obtained by ingesting undercooked meat containing infected larvae. The purpose of our article is to introduce and discuss two rare cases of pleural effusion caused by Trichinella spiralis.
Here we described two male patients who presented to the respiratory department of our hospital with a massive unilateral pleural effusion, their serum eosinophils were in the normal range, laboratory serological tests revealed that Trichinella spiralis IgG antibody was positive. After the oral administration of antiparasitic drugs, the pleural effusion of two patients was completely absorbed.
Both patients were diagnosed with Trichinosis complicated with pleural effusion, which is very rare in the clinic and easy to be misdiagnosed because of normal eosinophils.
旋毛虫病是一种全球性食源性人畜共患寄生虫病，主要通过摄入含有感染幼虫的未煮熟肉类而获得。我们这篇文章的目的是介绍和讨论两例由旋毛虫引起的罕见胸腔积液病例。
在这里，我们描述了两名男性患者，他们因单侧大量胸腔积液到我院呼吸科就诊，他们的血清嗜酸性粒细胞在正常范围内，实验室血清学检查显示旋毛虫 IgG 抗体阳性。两例患者经口服驱虫药物治疗后，胸腔积液完全吸收。
两名患者均被诊断为旋毛虫病合并胸腔积液，这种疾病在临床上非常罕见，由于嗜酸性粒细胞正常，容易误诊。
