Simon J W, Riddell N J, Wong W T, Au A C, Ko R C, Templer M J
Trans R Soc Trop Med Hyg. 1986;80(3):394-7. doi: 10.1016/0035-9203(86)90323-8.
The first documented report of human trichinosis in Hong Kong is described comprising an outbreak amongst 20 Gurkha soldiers following a barbecue. The cardinal clinical features were fever, myalgia and facial oedema and the most useful laboratory tests were eosinophilia and elevated levels of creatinine phosphokinase. Gastrointestinal symptoms were uncommon. Seven patients who developed electrocardiographic abnormalities are the subject of an ongoing study. Four patients had psychiatric manifestations. Splinter haemorrhages, hypocalcaemia and evidence of renal dysfunction were absent. The parasite was recovered from 13 of patients and the diagnosis confirmed serologically in all. The value of the enzyme-linked immunosorbent assay (ELISA) for IgM and IgE antibodies is emphasized in that it is 100% specific and sensitive. Thiabendazole alone was used in treatment and all patients recovered.
香港有记录的首例人体旋毛虫病报告称，20名廓尔喀士兵在烧烤后爆发了该病。主要临床特征为发热、肌痛和面部水肿，最有用的实验室检查是嗜酸性粒细胞增多和肌酸磷酸激酶水平升高。胃肠道症状并不常见。七名出现心电图异常的患者正在接受一项正在进行的研究。四名患者有精神症状。未发现甲下线状出血、低钙血症和肾功能障碍的证据。从13名患者中发现了寄生虫，所有患者均通过血清学确诊。强调了酶联免疫吸附测定（ELISA）检测IgM和IgE抗体的价值，因为它具有100%的特异性和敏感性。仅使用噻苯达唑进行治疗，所有患者均康复。
