Outbreak of Haff disease caused by consumption of crayfish (Procambarus clarkii) in nanjing, China
| العنوان: | Outbreak of Haff disease caused by consumption of crayfish (Procambarus clarkii) in nanjing, China |
|---|---|
| المؤلفون: | Shiqi Zhen, Xiaocheng Li, Yun Jiang, Di Jin, Yue Dai, Baofu Guo, Yonglin Zhou, Guiju Sun, Guoxiang Xie |
| المصدر: | Clinical Toxicology. 57:331-337 |
| بيانات النشر: | Informa UK Limited, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, China, Time Factors, Adolescent, Alcohol Drinking, Food Contamination, Context (language use), Astacoidea, Consumption (sociology), Toxicology, Risk Assessment, Rhabdomyolysis, Disease Outbreaks, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, medicine, Animals, Humans, Shellfish Poisoning, 030212 general & internal medicine, Child, Aged, Procambarus clarkii, River sediment, biology, Incidence, Portion Size, Outbreak, 030208 emergency & critical care medicine, General Medicine, Middle Aged, medicine.disease, biology.organism_classification, Crayfish, Fishery, Geography, Seafood, Child, Preschool, Female, Haff disease |
| الوصف: | This paper reports a detailed epidemiological investigation of a large Haff disease outbreak in Nanjing, China, including laboratory analysis of water, river sediment, and fish.Structured questionnaires were administered to all case-patients. An unmatched case-control study was conducted to identify the factors affecting the incidence of Haff disease. Thirteen samples of crayfish, together with four samples of water and four samples of sediment were collected and sent for laboratory analysis.The disease onset of 494 patients occurred between 2 am on 30 June 2016 and 3 am on 29 August 2016. The median incubation time for onset of symptoms after crayfish ingestion was 7.1 hours (range: 1-20 hours). All patients presented with or developed local or diffuse myalgia. However, no kidney injury was observed. Serum creatinine kinase was elevated in all patients (mean: 4614 U/L, median: 2000 U/L, range: 81-55200 U/L). The average number of crayfish consumed by patients on the day of illness was 20 (2-80). The case-control study revealed that eating a large quantity of crayfish, drinking alcohol, and eating the crayfish head and/or intestines were associated with an increased risk of disease. Chemical analysis of crayfish, river water and sediment did not identify known or novel toxins including anticoccidiosis drugs, niclosamide, organophosphorus pesticides, and microcystins.An outbreak of Haff Disease was associated with consumption of crayfish from the Yangtze River and its surrounding water system. Eating a large quantity of crayfish, eating the head and/or intestines, and consuming alcohol with the crayfish were associated with the development of Haff Disease. |
| تدمد: | 1556-9519 1556-3650 |
| DOI: | 10.1080/15563650.2018.1529318 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a6552162f9cfb6f8673332b1fff80ad9 https://doi.org/10.1080/15563650.2018.1529318 |
| رقم الانضمام: | edsair.doi.dedup.....a6552162f9cfb6f8673332b1fff80ad9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15569519 15563650 |
|---|---|
| DOI: | 10.1080/15563650.2018.1529318 |