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[普罗旺斯的旋毛虫病。关于一次家庭性流行疫情]

[Trichinosis in Provence. Apropos of a familial epidemic].

作者信息

Igual J P, Faugere B, Pene P, Bourgeade A, Quilici M

出版信息

Bull Soc Pathol Exot Filiales. 1985;78(4):473-7.

PMID:4075468
Abstract

An outbreak of trichinosis following meals in a rural area of Provence is reported. The epidemiologic parameters reconstitute the contamination cycle (man-pig: fox-rat) which indicated indisputably the diagnosis, the appropriate therapy, and also evidenced a rural zoonosis of trichinosis in Provence. The clinical picture among twenty-one people included morbilliform rash in 38% of cases and an enanthema in 24% of cases, uncommon findings, with respect to their frequency, and the other usual signs. Early laboratory diagnosis was made possible by blood analysis for hypereosinophilia and immunoassay (ELISA) for antigen-specific IgE. Treatment with benzimidazoles was quite effective.

摘要

据报道,普罗旺斯农村地区发生了一起因进食引发的旋毛虫病疫情。流行病学参数重构了感染循环(人-猪:狐狸-鼠),这无疑明确了诊断、恰当的治疗方法,同时也证实了普罗旺斯存在旋毛虫病这种农村人畜共患病。21名患者的临床症状包括38%的病例出现麻疹样皮疹,24%的病例出现黏膜疹,就其发生频率而言,这些表现并不常见,还有其他常见症状。通过血液分析检测嗜酸性粒细胞增多以及采用抗原特异性IgE免疫测定法(ELISA)实现了早期实验室诊断。使用苯并咪唑进行治疗效果显著。

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