Trichinosis diagnostic criteria: Difference between revisions
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{{CMG}} {{AE}} {{DL}} | {{CMG}} {{AE}} {{DL}} | ||
==Overview== | ==Overview== | ||
The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.<ref name=abc>FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref><ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref> | The [[diagnosis]] of trichinosis is based on the European Center for Disease Control [[criteria]], which include a combination of [[clinical]], [[laboratory]] and [[epidemiological]] criteria.<ref name="abc">FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref><ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref> | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
*Clinical criteria | *'''[[Clinical]] criteria''' | ||
**At least 3 of the following 6 diagnostic criteria are met: | **At least 3 of the following 6 [[diagnostic criteria]] are met: | ||
***Muscle soreness and pain | ***[[Muscle soreness|Muscle soreness and pain]] | ||
***Diarrhoea | ***[[Diarrhoea]] | ||
***Fever | ***[[Fever]] | ||
***Facial swelling | ***[[Facial edema|Facial swelling]] | ||
***Subconjunctival, subungual and retinal bleeding | ***[[Subconjunctival haemorrhage|Subconjunctival]], subungual and [[retinal]] [[bleeding]] | ||
***Increased eosinophils in the blood | ***[[Eosinophilia|Increased eosinophils in the blood]] | ||
*Laboratory criteria | *'''Laboratory criteria''' | ||
**At least 1 of the following 2 diagnostic criteria are met: | **At least 1 of the following 2 [[diagnostic criteria]] are met: | ||
***Confirmation of anti-trichinella IgG by ELISA, western | ***Confirmation of anti-trichinella [[IgG]] by [[ELISA test|ELISA]], [[western blot]] or IFA | ||
***Confirmation of trichinella larvae in muscle tissue by biopsy | ***Confirmation of trichinella larvae in [[muscle tissue]] by [[biopsy]] | ||
*Epidemiological criteria | *'''Epidemiological criteria''' | ||
**At least 1 of the following 3 diagnostic criteria are met: | **At least 1 of the following 3 [[diagnostic criteria]] are met: | ||
***Epidemiological connection to exposure of the same common source of a patient with confirmed laboratory result | ***[[Epidemiological]] connection to exposure of the same common source of a patient with confirmed [[laboratory]] result | ||
***Laboratory result confirming consumption of potentially parasitised products from an infected animal | ***[[Laboratory]] result confirming consumption of potentially parasitised products from an infected animal | ||
***Laboratory result confirming consumption of | ***[[Laboratory]] result confirming consumption of parasitised meat | ||
*Confirmed case: | *''Confirmed case:'' | ||
**Patient with clinical and laboratory criteria within the last 2 months | **Patient with [[clinical]] and [[laboratory]] [[criteria]] within the last 2 months | ||
*Possible case: | *''Possible case:'' | ||
**Patient with clinical and epidemiological criteria<ref name=abc>FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref><ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref> | **Patient with [[clinical]] and [[epidemiological]] [[criteria]]<ref name="abc">FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref><ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref> | ||
==References== | ==References== | ||
Revision as of 21:23, 29 January 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.[1][2]
Diagnostic Criteria
- Clinical criteria
- At least 3 of the following 6 diagnostic criteria are met:
- Laboratory criteria
- At least 1 of the following 2 diagnostic criteria are met:
- Confirmation of anti-trichinella IgG by ELISA, western blot or IFA
- Confirmation of trichinella larvae in muscle tissue by biopsy
- At least 1 of the following 2 diagnostic criteria are met:
- Epidemiological criteria
- At least 1 of the following 3 diagnostic criteria are met:
- Epidemiological connection to exposure of the same common source of a patient with confirmed laboratory result
- Laboratory result confirming consumption of potentially parasitised products from an infected animal
- Laboratory result confirming consumption of parasitised meat
- At least 1 of the following 3 diagnostic criteria are met:
- Confirmed case:
- Patient with clinical and laboratory criteria within the last 2 months
- Possible case:
- Patient with clinical and epidemiological criteria[1][2]
References
- ↑ 1.0 1.1 FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016
- ↑ 2.0 2.1 Gottstein B, Pozio E, Nöckler K (2009). "Epidemiology, diagnosis, treatment, and control of trichinellosis". Clin Microbiol Rev. 22 (1): 127–45, Table of Contents. doi:10.1128/CMR.00026-08. PMC 2620635. PMID 19136437.