Аcute infection of Opisthorchis felineus in Moscow: Cases from delivered fish and cases in tourists travelled to endemic regions in Russia
Бронштейн А. М., Козлов С. С., Малyшев Н. А., Бурова С. В., Максимова М. С., Федянина Л. В., Давyдова И. В.
Журнал инфектологии
Т. 11, Вып. 1, С. 76-83
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.22625/2072-6732-2019-11-1-76-83
Аннотация:
We describe the human acute opisthorchiasis outbreaks in Moscow region acquired from eating raw Leuciscus idus, Abramis brama and Aspius aspius in 10 patiens: 5 delivered fish from Tyumen and Sverdlovsk regions and 5 - from fish during their travelling to Tomsk and Astrakhan regions. Although, 18 people had identical history of consumption raw fish 10 had clinical symptoms of which the most frequent one was febrile eosinophilic syndrome. Other 8 people had no clinical symptoms. Eggs of O.felineus were found in 10 patients. Due to risk of cholangiocarcinoma in patients infected with O.felineus we recommend one day of praziquantel 25 mg/kg TID. Although opisthorchiasis is not frequently reported in Moscow region, it should be considered in cases of unexplained acute febrile eosinophilic syndrome with cholestasis, especially when patients confirm the ingestion of raw fish. © 2019 Interregional public organization Association of infectious disease specialists of Saint-Petersburg and Lening
Ключевые слова:
Abramis brama; Acute stage; Aspius aspius; Leuciscus idus; Moscow; Opisthorchiasis; Opisthorchis felineus; Praziquantel; Russia
praziquantel; antihelminthic therapy; Article; bile duct carcinoma; cancer risk; clinical article; endemic disease; epidemic; human; opisthorchiasis; Russian Federation; travel related disease
Язык текста: Русский
ISSN: 2499-9865
Бронштейн А. М.
Козлов С. С.
Малyшев Н. А.
Бурова С. В.
Максимова М. С. Мария Сергеевна 1987-
Федянина Л. В. Лидия Васильевна 1940-
Давyдова И. В.
Bronshtejn A. M.
Kozlov S. S.
Malyshev N. A.
Burova S. V.
Maksimova M. S. Mariya Sergeevna 1987-
Fedyanina L. V. Lidiya Vasilyevna 1940-
Davydova I. V.
Аcute infection of Opisthorchis felineus in Moscow: Cases from delivered fish and cases in tourists travelled to endemic regions in Russia
Текст визуальный непосредственный
Журнал инфектологии
Ассоциация врачей-инфекционистов Санкт-Петербурга и Ленинградской области
Т. 11, Вып. 1 С. 76-83
2019
Статья
Abramis brama Acute stage Aspius aspius Leuciscus idus Moscow Opisthorchiasis Opisthorchis felineus Praziquantel Russia
praziquantel antihelminthic therapy Article bile duct carcinoma cancer risk clinical article endemic disease epidemic human opisthorchiasis Russian Federation travel related disease
We describe the human acute opisthorchiasis outbreaks in Moscow region acquired from eating raw Leuciscus idus, Abramis brama and Aspius aspius in 10 patiens: 5 delivered fish from Tyumen and Sverdlovsk regions and 5 - from fish during their travelling to Tomsk and Astrakhan regions. Although, 18 people had identical history of consumption raw fish 10 had clinical symptoms of which the most frequent one was febrile eosinophilic syndrome. Other 8 people had no clinical symptoms. Eggs of O.felineus were found in 10 patients. Due to risk of cholangiocarcinoma in patients infected with O.felineus we recommend one day of praziquantel 25 mg/kg TID. Although opisthorchiasis is not frequently reported in Moscow region, it should be considered in cases of unexplained acute febrile eosinophilic syndrome with cholestasis, especially when patients confirm the ingestion of raw fish. © 2019 Interregional public organization Association of infectious disease specialists of Saint-Petersburg and Lening