Résumé
The 5th outbreak of trichinosis occurred in a mountainous area of North Vietnam in 2012, involving 24 patients among 27 people who consumed raw pork together. Six of these patients visited several hospitals in Hanoi for treatment. Similar clinical symptoms appeared in these patients within 5-8 days after eating infected raw pork, which consisted of fever, muscle pain, difficult moving, edema, difficult swallowing, and difficult breathing. ELISA revealed all (6/6) positive reactions against Trichinella spiralis antigen and all cases showed positive biopsy results for Trichinella sp. larvae in the muscle. The larvae detected in the patients were identified as T. spiralis (Vietnamese strain) by the molecular analysis of the mitochondrial cytochrome c oxidase subunit III (cox3) gene.
Sujets)
Adulte , Animaux , Femelle , Humains , Mâle , Antigènes d'helminthe/analyse , Épidémies de maladies , Complexe IV de la chaîne respiratoire/génétique , Test ELISA , Larve , Viande/parasitologie , Mitochondries/génétique , Muscles/parasitologie , Suidae , Trichinella spiralis/génétique , Trichinellose/épidémiologie , Vietnam/épidémiologieRésumé
Study on 120 men with diabetes type 2 were treated at the Central Military Hospital 108. Results: 61% patients were between 50 and 60 years old, the rate of overweight and obesity were relative high (46.6%), more than 40% patients had comorbidity of hypertension, dyslipidemia. Most patients were diagnosed between 2 and 5 years (46.3%). Most common clinical symptoms were excessive thirst (61%), frequent urination (61%), weight loss (57.4%), but 20% patients were asymptomatic. The rate of diabetic encephalopathy were 7.4%, diastolic dysfunction 68,5%, left ventricular hypertrophy 31,5%, proteinuria 51.8%, grade 1 renal insuffiency 5.6%, eye damage 30%.