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Acta Facultatis Medicae Naissensis
2018, vol. 35, br. 2, str. 140-148
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2478/afmnai-2018-0016

Creative Commons License 4.0
Epidemija humane trihineloze u selu Subotinac u okolini Aleksinca
aClinical Center Niš, Clinic for Infectious Diseases + University of Niš, Faculty of Medicine
bUniverzitet u Nišu, Medicinski fakultet

e-adresa: lidija_popovic2003@yahoo.com

Sažetak

U selu Subotinac, blizu grada Aleksinca, došlo je do epidemije trihineloze, od koje je obolelo trinaestoro osoba, od kojih je osmoro razvilo ozbiljnu formu bolesti u vidu miokarditisa. Izvor epidemije bila je dimljena svinjetina poreklom od domaće svinje koja nije podlegla procedurama provere mesa. Dominantni klinički znaci i simptomi kod ovih trinaestoro bolesnikabili su: bol u mišićima (84,6%), malaksalost (69,2%), otok gornjih kapaka (61,5%) i otežano žvakanje (53,9%). Pomenuti znaci i simptomi bili su udruženi sa značajno povišenom aktivnošću kreatin fosfokinaze i laktat dehidrogenaze. Kod čak 61,5% bolesnika sa trihinelozom utvrđen je miokarditis (prema nalazima elektrokardiografije, ehokardiografije, te nivoima troponina I i kreatin kinaze-MB). Kod pacijenata su bila prisutna Trichinella-specifična IgG antitela imunoenzimskog testa i pozitivni rezultati testa indirektne imunofluorescencije. Odgovor bolesnika na terapiju mebendazolom bio je zadovoljavajući. Kortikosteroidna terapija ordinirana je bolesnicima sa miokarditisom. S obzirom da je kod visokog procenta naših bolesnika bio prisutan miokarditis, infektolozi bi uvek trebalo da imaju u vidu upotrebu analiza srčanih biomarkera, ehokardiografije i elektrokardiografije.

Ključne reči

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