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Triquinelose

Последний просмотренный: 20 Aug 2025
Last updated: 24 Jan 2025

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
完整详情

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
完整详情

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
完整详情

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
完整详情

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
完整详情

治疗流程

急症处理

adultos não gestantes

gestante

crianças

撰稿人

作者

Miguel G. Madariaga, MD, MSc, FACP
Miguel G. Madariaga

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

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

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.
  • Triquinelose images
  • 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

    更多 患者教育信息
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