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旋毛虫病

Last reviewed: 5 Oct 2024
Last updated: 27 Jul 2022

Summary

Definition

History and exam

Key diagnostic factors

  • 生食或半生食肉类
  • 与旋毛虫病患者接触
  • 肌痛和肌炎
  • 发热
  • 眼眶周围/面部水肿
  • 结膜炎和结膜下出血
Full details

Other diagnostic factors

  • 指甲下和视网膜出血
  • 其他眼部特征
  • 胃肠体征和症状
  • 肝肿大
  • 少尿
  • 斑丘疹
  • 其他皮肤特征
  • 吞咽困难
  • 发声困难
  • 呼吸困难
  • 头痛
  • 麻痹状态
  • 其他神经特征
Full details

Risk factors

  • 生食或半生食猪肉
  • 生食或半生食马或其他家畜的肉
  • 生食或半生食野生动物肉
  • 生食或半生食野生爬行动物肉类
Full details

Diagnostic investigations

1st investigations to order

  • FBC 和分类计数
  • 肌酸激酶及其他肌酶
  • 血钾
  • 血清白蛋白
  • 血清 IgE
Full details

Investigations to consider

  • 抗体血清学
  • 肌肉活检
  • 肌电图
  • 尿液分析
  • 血肌酐和肌酐清除率
  • 血清氨基转移酶
  • 脑部 MRI 或 CT 扫描
  • 脑电图 (EEG)
  • 脑脊液检查
  • 心电图 (ECG)
  • 血清肌钙蛋白
  • 二维超声心动图
Full details

Treatment algorithm

ACUTE

非妊娠成人

妊娠

儿童

Contributors

Authors

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

Infectious Diseases Consultant

Naples Community Hospital

Naples

FL

Disclosures

MGM declares that he has no competing interests.

Peer reviewers

Fabrizio Bruschi, MD

Professor of Parasitology

Department of Experimental Pathology BMIE

Faculty of Medicine and Surgery

University of Pisa

Pisa

Italy

Disclosures

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

Disclosures

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

Disclosures

CDH declares that he has no competing interests.

  • 旋毛虫病 images
  • Differentials

    • 细菌性胃肠炎
    • 呼吸道或胃肠道病毒感染
    • 肾小球肾炎
    More Differentials
  • Guidelines

    • 国际旋毛虫病委员会:关于使用血清学检查检测动物和人旋毛虫感染的建议
    • 粮农组织(FAO)/世界卫生组织(WHO)/国际兽疫局(OIE)对旋毛虫病的监测、管理、预防和控制指南
    More Guidelines
  • Patient information

    成人腹泻

    儿童腹泻

    More Patient information
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