CLINICAL AND EPIDEMIOLOGICAL ASPECTS OF HUMAN TOXOCARIASIS IN THE ASTRAKHAN REGION

Medical Parasitology and Parasitic Diseases Pub Date : 2022-03-01 DOI:10.33092/0025-8326mp2022.1.31-45

T. V. Nikeshina, R. S. Arakelyan, E. I. Okunskaya, G. L. Shendo, L.H. Ishmuhambetova

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Abstract

In this work the authors analyzed clinical and epidemiological situation of toxocariasis in man in the Astrakhan region from 2012 to 2019. So, toxocariasis we have analyzed 48 epidemiological records of persons infested Toxocara. The highest number of cases in humans was in 2013 and 2017, accounting for 20.8% and 25.0%. The diagnosis of “toxocariasis” was confirmed by enzyme immunoassay (ELISA) using test systems for the detection of antibodies to antigens Toxocara class G. In most of the infected individuals, toxocarosis occurred in the form of various clinical manifestations and symptoms-60.4%: in most cases, patients complained of abdominal pain-37.9%, including pain in the epigastric region-27.6% and pain in the right hypochondrium-10.3%, general weakness-34.5% and cough-31.0%. Also, a small number of infected individuals had complaints of pain in the joints of the upper extremities-10.3%, frequent fatigue-13.8%, allergic rhinitis, nausea and a slight increase in temperature-3.4%, lack of appetite-6.9%. In rare cases, patients complained of bloating, hives, feeling suffocated at night, slight weight loss, and nail dissection – 3.4% each. Key words: toxocariasis, Astrakhan region, epidemiology

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阿斯特拉罕地区人类弓形虫病的临床和流行病学方面

在这项工作中，作者分析了2012 - 2019年阿斯特拉罕地区人类弓形虫病的临床和流行病学情况。因此，弓形虫病我们分析了48个感染弓形虫的人的流行病学记录。人间病例数最高的是2013年和2017年，分别占20.8%和25.0%。采用g类弓形虫抗原抗体检测系统进行酶免疫测定(ELISA)，确诊弓形虫病。大多数感染者以多种临床表现和症状出现(60.4%)，其中腹痛37.9%，其中上腹部疼痛27.6%，右侧胁肋疼痛10.3%，全身无力34.5%，咳嗽31.0%。此外，少数感染者有上肢关节疼痛(10.3%)、经常疲劳(13.8%)、过敏性鼻炎、恶心和体温轻微升高(3.4%)、食欲不振(6.9%)。在极少数情况下，患者抱怨腹胀、荨麻疹、夜间窒息、轻微体重减轻和指甲剥离-各占3.4%。关键词:弓形虫病，阿斯特拉罕地区，流行病学

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Medical Parasitology and Parasitic Diseases

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