トリキネラ症:依然として警戒が必要な人獣共通感染症
Ivana Mitic1, Sasa Vasilev1, Alisa Gruden-Movsesijan1
1Department for Immunology and Immunoparasitology, National Reference Laboratory for Trichinellosis, Institute for the Application of Nuclear Energy, University of Belgrade, Belgrade, Serbia.
トリキネラ症は、トリキネラ線虫によって引き起こされる寄生虫疾患であり、しばしば加熱不十分な肉から感染する。このレビューでは、その生物学、伝播、診断、予防について概説し、ヒトの病態生理と慢性疾患メカニズムのより深い理解の必要性を強調している。
科学分野:
- Parasitology and Infectious Diseases; Foodborne Illnesses; Public Health
背景:
- Trichinellosis is a zoonotic parasitic disease caused by Trichinella nematodes.; Acquisition typically occurs through consumption of raw or undercooked meat containing infective larvae.; It remains a significant public health concern globally, particularly where food safety is compromised.
研究 の 目的:
- To review and integrate current knowledge on Trichinella biology, transmission, and clinical manifestations.; To discuss challenges and advancements in the diagnosis, treatment, and prevention of trichinellosis.; To identify areas requiring further research, especially concerning human pathophysiology and chronic disease.
主な方法:
- A comprehensive literature search was conducted across major scientific databases (PubMed, Scopus, Google Scholar, Web of Science).; Searches covered publications from 1990 to August 2025 using keywords related to Trichinella and trichinellosis.; Included articles were screened for relevance, and full-text content was analyzed for key information.
主要な成果:
- Trichinella has a life cycle involving intestinal and muscular phases, leading to cyst formation.; Clinical presentations range from mild gastrointestinal issues to severe systemic symptoms and potential chronic effects.; The immune response typically shows a Th2 profile with eosinophilia; diagnosis involves clinical, epidemiological, serological, and parasitological methods.
結論:
- Effective prevention strategies include public education, controlled animal farming, and rigorous meat inspection.; Further research into host-parasite interactions, chronic disease mechanisms, and species-specific differences is crucial.; Improved understanding is essential for enhancing clinical management and guiding public health interventions against trichinellosis.
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