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「infestation by trichina larvae that are transmitted by eating inadequately cooked meat (especially pork); larvae migrate from the intestinal tract to the muscles where they become encysted」
trichiniasis, myositis trichinosa

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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/02/12 13:47:12」(JST)

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  • Acute Muscular Sarcocystosis: an International Investigation among Ill Travelers Returning from Tioman Island, Malaysia, 2011 and 2012.
  • Esposito DH1, Stich A2, Epelboin L3, Malvy D4, Han PV1, Bottieau E5, da Silva A6, Zanger P7, Slesak G8, van Genderen PJ9, Rosenthal BM10, Cramer JP11, Visser LG12, Muñoz J13, Drew CP14, Goldsmith CS14, Steiner F15, Wagner N16, Grobusch MP17, Plier DA18, Tappe D19, Sotir MJ1, Brown C1, Brunette GW1, Fayer R10, von Sonnenburg F20, Neumayr A21, Kozarsky PE22; for the Tioman Island Sarcocystosis InvestigationTeam; for the Tioman Island Sarcocystosis InvestigationTeam.
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.Clin Infect Dis.2014 Aug 4. pii: ciu622. [Epub ahead of print]
  • BACKGROUND:  Through two international traveler-focused surveillance networks (GeoSentinel and TropNet), we identified and investigated a large outbreak of acute muscular sarcocystosis (AMS), a rarely-reported zoonosis caused by a protozoan parasite of the genus Sarcocystis, associated with travel
  • PMID 25091309
  • New York City's innovative epidemiologist: the life and career of Morris Greenberg.
  • Imperato PJ1, Imperato GH.
  • Journal of community health.J Community Health.2014 Aug;39(4):682-7. doi: 10.1007/s10900-014-9882-2.
  • Dr Morris Greenberg was an eminent American epidemiologist who served with the New York City Department of Health for a 40 year period, from 1920 until his passing in 1960. In 1946, he became Director of the department's Bureau of Preventable Diseases. In this role, he set very high standards for ou
  • PMID 24838855
  • Assessing laboratory performance in Trichinella ring trials.
  • Petroff D1, Hasenclever D, Makrutzki G, Riehn K, Lücker E.
  • Parasitology research.Parasitol Res.2014 Aug;113(8):2837-43. doi: 10.1007/s00436-014-3944-3. Epub 2014 May 18.
  • Trichinosis (Trichinellosis) is a zoonotic disease acquired by eating raw or not adequately processed pork or wild game infected with the larvae of the roundworm genus Trichinella. According to European regulations, animals susceptible to Trichinella have to be examined for infestation. To evaluate
  • PMID 24838905
  • Development of a Rapid Serological Assay for the Diagnosis of Strongyloidiasis Using a Novel Diffraction-Based Biosensor Technology.
  • Pak BJ1, Vasquez-Camargo F2, Kalinichenko E1, Chiodini PL3, Nutman TB4, Tanowitz HB5, McAuliffe I6, Wilkins P6, Smith PT1, Ward BJ7, Libman MD7, Ndao M7.
  • PLoS neglected tropical diseases.PLoS Negl Trop Dis.2014 Aug 7;8(8):e3002. doi: 10.1371/journal.pntd.0003002. eCollection 2014.
  • BACKGROUND: Strongyloidiasis is a persistent human parasitic infection caused by the intestinal nematode, Strongyloides stercoralis. The parasite has a world-wide distribution, particularly in tropical and subtropical regions with poor sanitary conditions. Since individuals with strongyloidiasis are
  • PMID 25102174


  • 青森県のホンドギツネに見出された旋毛虫症の一例 (短報) (寄生虫病学)
  • 工藤 上,有馬 涼子,大槻 美紀 [他],小山田 隆
  • The journal of veterinary medical science 63(7), 823-826, s・vi, 2001-07
  • 1998年11月, 青森県六ヶ所村で捕獲された雄のホンドギツネ(体長104cm, 体重6.0kg)の筋肉から旋毛虫幼虫が検出された. 筋肉1g当たりの幼虫数は臀部の筋肉が最も多く, 次いで咽頭部であった. 舌および横隔膜の幼虫数は極めて少なく, 咬筋からは全く検出されなかった. 筋肉内シスト周囲の細胞反応は極めて軽微で, シスト極部には脂肪細胞の集積が認められた. 本例は我が国のキツネにおける初の …
  • NAID 110003920699
  • The First Host Record of Trichinosis in a Red Fox, Vulpes vulpes japonica, from Aomori Prefecture, Northern Honshu, Japan.
  • KUDO Noboru,ARIMA Ryoko,OHTSUKI Miki,OYAMADA Takashi
  • Journal of Veterinary Medical Science 63(7), 823-826, 2001
  • … A case of wildlife trichinosis was found in a red fox (Vulpes vulpes japonica) captured at Rokkasho, Aomori Prefecture on November 27, 1998. … This is the first case of trichinosis in a red fox in Japan. …
  • NAID 130000449527
  • 旋毛虫症に特異的な免疫診断法に関する研究
  • 竹上 貴子
  • 奈良医学雑誌 45(5), 626-640, 1994-10-31
  • … spiralis muscle larvae were immunostained with sera from patients with a wide variety of helminthiasis including trichinosis, paragonimiasis, fascioliasis, trichuriasis, gnathostomiasis, dirofilariasis, anisakiasis, cysticercosis cellulosae hominis, and diphyllobothriasis. … On the other hand, patients with trichinosis evoked both IgG- and IgM-class antibodies against specific and non-specific antigens. …
  • NAID 120004973572
  • 放射線照射による食品よりの旋毛虫感染予防に関する研究
  • 島津 公隆
  • 奈良医学雑誌 44(6), 405-416, 1993-12-31
  • A systemic study was performed to elucidate the effects of Co60 irradiation on maturation or fecundity of Trichinella spiralis by assessing from parasitological, morphological and immunological points …
  • NAID 120004973643


trichinosis trich·i·no·sis (trĭk'ə-nō'sĭs) n. A disease caused by eating undercooked meat, usually pork, that is infested with trichinae, which develop as adults in the intestines and as larvae in the muscles, causing intestinal ...
Trichinosis Definition Trichinosis is a disease caused by a roundworm (nematode) called Trichinella spiralis. An individual worm of this species is called a trichina, from the Greek word meaning "hairlike." Trichinae can be readily ...
Trichinosis Health Byte, Coke + Pork = Maggots???, Monsters Inside Me: Flesh Worms, Trichinosis Treatment and Symptoms, Danger of Pork, , Trichina worm, Trichinosis, Eat Smarter, Live longer, Brain Worm, Julie Pluta's ...


Trichinosis – Symptoms, Diagnosis Trichinosis | Medical SubstanceTrichinosis TrichinosisTrichinosis (1942)Trichinella spiralis.pngTrichinosis – Symptoms, Diagnosis Trichinosis. Causes, symptoms, treatment Trichinosis Trichinosis larvae




chest pain, thoracodynia, pectoralgia








  • 圧迫されるような痛み:狭心症、心筋梗塞
  • 刺すような痛み:心膜炎、胸膜炎、肋間神経痛


  • 気胸、肺炎、胸膜炎、慢性閉塞性肺疾患、慢性閉塞性肺疾患の悪化、肺癌などの肺疾患、心不全



【既往歴】基礎疾患(DM, HT, DL)
【嗜好】smoking, alcohl

Appearance: Face anguish, Diaphoresis, Cyanosis
 BT , BP / , HR  (L Arm/R Arm, Lower Extrimity), RR , SpO2
Lymphnode: swollen/no swollen, breath sound →/↑/↓
 Heart:Is →/↑/↓, IIs →/↑/↓, IIIs(±)/IVs(±), murmur, friction rub ±
 Lung: crackle/rale
Abdomen: soft/hard, tenderness
Extremity: cold/pulse/edema
Skin: dry/wet/hot/cold

ECG: ST segment change
Blood test:
 biochemistry: CK-MB, Troponine T, AST, LDH, H-FABP
 Blood count: WBC
 Arterial blood gas: PaO2 torr
  A-aDO2 = 150 - PaCO2/ 0.8 (torr) - PaO2 (normal below 20 Torr)
Chest XP:
Heart echography:


  • 1. 肺血栓塞栓症および深部静脈血栓症の診断、治療、予防に関するガイドライン(2009年改訂版)



relative bradycardia
relative sinus bradycardia?、相対的徐脈相対性徐脈


  • QB.H-165では体温1℃の上昇につき脈拍が8-10/分上昇するのが正常であるが、脈拍の上昇幅がこれいかのものを比較的徐脈としている。
  • 参考1では体温に対して一義的に脈拍を決めている


  • 重症感染症で心拍数の調節が失われる、らしい(要調査)。



  • 1. 比較的徐脈の定義
Cunha BA: Diagnostic significancer of relative bradycardia. Infect Dis Pract 21: 38-40, 1997.
  • 2. [charged]洞徐脈 - uptodate [1]






trichinosis, trichinellosis