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http://en.wikipedia.org/wiki/Paragonimus_westermani
Paragonimiasis is a food-borne parasitic infection caused by the lung fluke which can cause a sub-acute to chronic inflammatory disease of the lung. It’s one of the more recognized lung flukes with the widest geographical range.
Transmission
Transmission of the parasite P. westermani to humans and mammals primarily occurs through the consumption of raw or undercooked seafood. In Asia, an estimated 80% of freshwater crabs carry P. westermani (19). In preparation, live crabs are crushed and metacercariae may contaminate the fingers/utensils of the person preparing the meal.Accidental transfer of infective cysts can occur via food preparers who handle raw seafood and subsequently contaminate cooking utensils and other foods (20 ). Consumption of animals which feed on crustaceans can also transmit the parasite, for cases have been cited in Japan where raw boar meat was the source of human infection ( 21, 22) Food preparation techniques such as pickling and salting do not exterminate the causative agent. For example, in Chinese study eating “drunken crabs醉蟹” was shown to be particularly risky because the infection rate was 100% when crabs are immersed in wine for 3–5 minutes and fed to cats/dog (23).
文献索引在这里:
19. Pachucki, CT, Levandowski, RA, Brown, VA, Sonnenkalb, BH, Vruno, MJ. American Paragonimiasis treated with praziquantel. New Eng J Med 1984; 311: 582-583.
20. Yokogawa, M. Paragonimus and Paragonimiasis. Adv Parasitol 1965; 3: 99-158
21. Markell and Voge’s Medical Parasitology 9th Edition,pg 200
22. Miyazaki I, Habe S. A newly recognized mode of human infection with the lung fluke, Paragonimus westermani. J Parasitol 1976;62:646-8.
23. Yokogawa, M. Paragonimus and Paragonimiasis. Adv Parasitol 1965; 3: 99-158 |
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