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首页> 外文期刊>Journal of Parasitology >Frequency and severity of musculoskeletal symptoms in humans during an outbreak of trichinellosis caused by Trichinella britovi.
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Frequency and severity of musculoskeletal symptoms in humans during an outbreak of trichinellosis caused by Trichinella britovi.

机译：在由旋毛虫引起的旋毛虫病暴发期间，人的肌肉骨骼症状的频率和严重性。

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Musculoskeletal symptoms such as myalgia are well-known features in the course of trichinellosis; however, the characteristics of musculoskeletal findings have been described in detail in only 1 study. The present study was aimed to determine the joint and muscle symptoms in subjects diagnosed with acute trichinellosis at our rheumatology unit during a Trichinella britovi outbreak that occurred in Izmir, Turkey, in 2004. In total, 98 patients (55 females, 43 males; mean age 32.3 +/- 10.9 yr) were included in the study. A detailed history and full musculoskeletal examination were obtained in each patient. A self-administered questionnaire developed for recording the musculoskeletal symptoms was completed monthly until all the symptoms were resolved. Pain at the joints, restriction of movements (in shoulders, elbows, wrists, knees, ankles, and temporomandibular joints), myalgia, and muscle weakness (neck and shoulder girdle, muscles of the upper and forearm, back, thigh, and calf muscles) were assessed in every patient. Eosinophil counts, serum levels of creatine kinase, and lactate dehydrogenase also were analyzed. The most frequent musculoskeletal symptoms were muscle pain (86 cases [87.8%]), joint pain (83 [84.7%]), subjective muscle weakness (75 [76.5%]), and restriction of joint movements (63 [64.3%]). Calves, upper arm, neck and shoulder girdle, and forearms were the most affected muscle groups. Muscle pain was reported more frequently in the upper than in the lower extremities and during activity. The most frequent painful joints were shoulders, knees, wrists, and ankles. Upper extremity joints were affected more frequently than the lower extremity joints (77.6 vs. 70.4%). Joint pain occurred more frequently at rest. Both muscle weakness and restriction of joint movements were reported in and around the most frequently affected regions. No evidence of arthritis and objective muscle weakness was noted on physical examination in any patient. Musculoskeletal symptoms in the course of T. britovi infection are frequent but with an excellent prognosis. Joint pain in people suffering from acute trichinellosis may occur more frequently than reported previously.
机译：在旋毛虫病过程中，肌肉骨骼症状如肌痛是众所周知的特征。但是，仅在一项研究中详细描述了肌肉骨骼发现的特征。本研究旨在确定2004年在土耳其伊兹密尔发生的Trichinella britovi暴发期间在我们的风湿病科诊断为急性旋毛虫病的受试者的关节和肌肉症状。总共98例患者（55例女性，43例男性;平均年龄32.3 +/- 10.9岁）纳入了研究。每位患者均获得了详细的病史和完整的肌肉骨骼检查。每月完成一份用于记录肌肉骨骼症状的自我管理调查表，直到所有症状得到解决。关节疼痛，活动受限（在肩膀，肘部，腕部，膝盖，脚踝和颞下颌关节），肌痛和肌肉无力（脖子和肩膀的腰带，上臂和前臂的肌肉，背部，大腿和小腿的肌肉） ）在每位患者中进行了评估。还分析了嗜酸性粒细胞计数，血清肌酸激酶水平和乳酸脱氢酶。最常见的肌肉骨骼症状是肌肉疼痛（86例[87.8％]），关节痛（83 [84.7％]），主观肌肉无力（75 [76.5％]）和关节活动受限（63 [64.3％]） 。小腿，上臂，脖子和肩膀的腰带以及前臂是受影响最大的肌肉群。据报告，上肢和下肢肌肉活动期间肌肉疼痛的发生频率更高。最常见的关节疼痛是肩膀，膝盖，手腕和脚踝。上肢关节受到的影响比下肢关节受到的影响更大（分别为77.6和70.4％）。休息时关节痛的发生频率更高。在受影响最频繁的地区及其周围地区，均报告了肌肉无力和关节活动受限。体检未发现任何关节炎和客观肌无力的证据。在布氏弧菌感染过程中，肌肉骨骼症状很常见，但预后良好。患有急性旋毛虫病的人的关节痛可能比以前报道的频率更高。

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