Feldmeier H, Blaumeiser G, Fischer H, Stein H A
Dtsch Med Wochenschr. 1984 Feb 10;109(6):205-10. doi: 10.1055/s-2008-1069167.
In November 1982 146 persons became ill within a few days with trichinosis in Bitburg (GFR). Prompt epidemiological and immunodiagnostic investigations demonstrated the high likelihood of infection by ingestion of raw sausage produced at a butcher's near Bitburg. The diagnosis of trichinosis could be ascertained still in the acute phase of disease by demonstration of the Trichinella larvae in peripheral blood. Retrospective analysis of earlier disease from the same area showed that the same infection source had led to a smaller epidemic already in August/September of 1982. This investigation confirms that epidemic trichinosis may occur in the GFR despite law-enforced assessment of meat for Trichinella. However, by combination of epidemiological and immunodiagnostic methods the mode and source of infection can be established promptly and reliably.
1982年11月，比特堡（德意志联邦共和国）有146人在几天内感染旋毛虫病。迅速展开的流行病学和免疫诊断调查表明，很有可能是因食用了比特堡附近一家肉铺制作的生香肠而感染。在疾病急性期，通过检测外周血中的旋毛虫幼虫仍可确诊旋毛虫病。对同一地区早期病例的回顾性分析显示，同一传染源在1982年8月/9月已导致一次规模较小的疫情。这项调查证实，尽管德意志联邦共和国对肉类强制进行旋毛虫检测，但仍可能发生旋毛虫病流行。不过，通过结合流行病学和免疫诊断方法，能够迅速且可靠地确定感染方式和传染源。
