Capó V, Despommier D D
Pathology Department, Institute of Tropical Medicine Pedro Kouri, Havana, Cuba.
Clin Microbiol Rev. 1996 Jan;9(1):47-54. doi: 10.1128/CMR.9.1.47.
Isolated cases and outbreaks of infection with Trichinella spp. occur frequently throughout the world, sometimes resulting in fatalities. The clinical presentations of signs and symptoms are remarkably constant for most of the species of Trichinella, but in infections with Trichinella nativa and Trichinella britovi, classical symptoms of trichinellosis may be absent. It is important to be able to correlate the clinical presentation of trichinellosis with the life cycle of these helminths in order to make an accurate diagnosis. Knowledge of the epidemiology of the disease enables the physician to identify other potential cases, since most epidemics can be traced back to a common source of raw or undercooked meat. A comprehensive summary relating the most important clinical variables is presented graphically for easy reference to the text. Symptoms and signs are considered in relation to severity of infection. Laboratory findings and diagnostic techniques, including new modalities (e.g., DNA and antigen detection), are discussed. A discussion of treatment and preventive measures concludes our review.
旋毛虫属感染的散发病例和暴发在全球频繁发生，有时会导致死亡。大多数旋毛虫种类的体征和症状临床表现相当一致，但在本地旋毛虫和布氏旋毛虫感染中，可能没有旋毛虫病的典型症状。能够将旋毛虫病的临床表现与这些蠕虫的生命周期相关联对于做出准确诊断很重要。了解该疾病的流行病学能使医生识别其他潜在病例，因为大多数疫情都可追溯到生肉或未煮熟肉类的共同来源。以图表形式呈现了与最重要临床变量相关的全面总结，以便于对照文本参考。根据感染严重程度对症状和体征进行了考量。讨论了实验室检查结果和诊断技术，包括新方法（如DNA和抗原检测）。我们的综述最后讨论了治疗和预防措施。
