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与食用未煮熟的鹿肉相关的弓形虫感染。

Toxoplasmosis infection associated with eating undercooked venison.

作者信息

Sacks J J, Delgado D G, Lobel H O, Parker R L

出版信息

Am J Epidemiol. 1983 Dec;118(6):832-8. doi: 10.1093/oxfordjournals.aje.a113701.

DOI:10.1093/oxfordjournals.aje.a113701
PMID:6650484
Abstract

Toxoplasmosis infection was documented in one Alabama and two South Carolina deer hunters in 1980. All three cases were acutely ill and required hospitalization. Physical findings included fever, leukopenia, and abnormal liver function tests. Two of the three patients showed infiltrates on chest x-ray. All three hunters had recently consumed raw or nearly raw venison and lacked other known risk factors for toxoplasmosis such as cat contact or eating other undercooked meats. In a serosurvey and questionnaire of 62 wildlife workers who regularly handled deer viscera, an association between seropositivity to Toxoplasma gondii and a history of eating raw or rare venison was found (p less than 0.05), but no significant association was found between seropositivity and any other risk factors. Eating inadequately cooked venison may represent an important vehicle of human toxoplasmosis infection.

摘要

1980年,阿拉巴马州的一名鹿猎人和南卡罗来纳州的两名鹿猎人被确诊感染弓形虫病。这三例病例均病情严重,需要住院治疗。体格检查结果包括发热、白细胞减少和肝功能检查异常。三名患者中有两名胸部X光片显示有浸润影。这三名猎人近期均食用过生的或几乎是生的鹿肉,且没有其他已知的弓形虫病危险因素,如接触猫或食用其他未煮熟的肉类。在一项针对62名经常处理鹿内脏的野生动物工作者的血清学调查和问卷调查中,发现弓形虫血清阳性与食用生的或半熟鹿肉的病史之间存在关联(p值小于0.05),但在血清阳性与任何其他危险因素之间未发现显著关联。食用未充分煮熟的鹿肉可能是人类感染弓形虫病的一个重要途径。

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