Резюме
定义
病史和体格检查
关键诊断因素
- consumo de carne crua ou malcozida
- contato com doente
- mialgia e miosite
- febre
- edema facial/periorbital
- conjuntivite e hemorragias subconjuntivais
其他诊断因素
- hemorragias em estilhas subungueais e retinianas
- outras características oculares
- sinais e sintomas gastrointestinais
- hepatomegalia
- oligúria
- exantema maculopapular
- outras características cutâneas
- disfagia
- disfonia
- dispneia
- cefaleia
- estado semelhante à paralisia
- outras características neurológicas
危险因素
- consumo de carne suína malcozida ou crua
- consumo de carne crua ou malcozida de cavalo ou outros animais domésticos
- consumo de carne crua ou malcozida de animais de caça
- consumo de carne crua ou malcozida de répteis
诊断性检查
首要检查
- Hemograma completo com diferencial
- creatina quinase e outras enzimas musculares
- potássio sérico
- albumina sérica
- imunoglobulina E (IgE) sérica
需考虑的检查
- sorologia de anticorpos
- biópsia muscular
- eletromiografia
- urinálise
- creatinina sérica e clearance da creatinina
- transaminases séricas
- ressonância nuclear magnética (RNM) ou tomografia computadorizada (TC) cranioencefálica
- eletroencefalograma (EEG)
- análise do líquido cefalorraquidiano
- eletrocardiograma (ECG)
- troponina sérica
- Ecocardiografia bidimensional
治疗流程
adultos não gestantes
gestante
crianças
撰稿人
作者
Miguel G. Madariaga, MD, MSc, FACP

Infectious Diseases Consultant
Naples Community Hospital
Naples
FL
利益声明
MGM declares that he has no competing interests.
同行评议者
Fabrizio Bruschi, MD
Professor of Parasitology
Department of Experimental Pathology BMIE
Faculty of Medicine and Surgery
University of Pisa
Pisa
Italy
利益声明
FB is an author of a number of references cited in this topic.
Jean Dupouy-Camet, MD, PhD
Chef du Service de Parasitologie-Mycologie
Hôpital Cochin
Paris
France
利益声明
JDC is an author of a number of references cited in this topic. JDC declares that he has no competing interests.
Christopher D. Huston, MD
Associate Professor
Division of Infectious Diseases
Department of Medicine
University of Vermont College of Medicine
Burlington
VT
利益声明
CDH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Gottstein B, Pozio E, Nockler K. Epidemiology, diagnosis, treatment, and control of trichinellosis. Clin Microbiol Rev. 2009;22:127-45.全文 摘要
Centers for Disease Control and Prevention. Trichinellosis (trichinosis): clinical overview of trichinellosis. May 2024 [internet publication].全文
Dupouy-Camet J, Murrell KD, eds. FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis. 2007 [internet publication].全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Gastroenterite bacteriana
- Infecções virais respiratórias ou gastrointestinais
- Glomerulonefrite
更多 鉴别诊断指南
- International Commission on Trichinellosis: recommendations on the use of serological tests for the detection of Trichinella infection in animals and humans
- FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis
更多 指南患者教育信息
Diarreia em crianças
Diarreia em adultos
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