"Raw Ginger Blue Crab Accompaniment Sake Incense,
I can't stop eating it!"
"Blood cockles are only scalded for 10 seconds,
It's fresh enough to eat with blood and water......"
on social media
This kind of "raw pickled" food post is quite popular with netizens
It is also jokingly called "delicious poison"
Because behind the deliciousness
There are huge risks lurking
In severe cases, it can even cause irreversible damage!
The man had a fever for more than half a month
Positive for antibodies to 3 parasites
Recently, a 52-year-old Mr. Zhou in Hangzhou has a fever from time to time, and his body temperature even soars to 39 °C.
The strange thing is that ordinary people will be weak when they have a fever, but Mr. Zhou is not tired except for the whole body fever and stomach discomfort, and he has taken antipyretics and antibiotics, but the effect is not obvious. After going on like this for more than 20 days, Mr. Zhou finally became calm and went to the hospital for treatment.
On preliminary examination, he had two obvious abnormalities: an abnormal eosinophil increase that was dozens of times that of a normal person, and obvious abnormal liver function. Imaging tests showed that there were many small abscesses on his liver that looked like they were infected and suppurated.
Because eosinophils have the function of killing bacteria and parasites, if the number of cells in the human body increases dramatically, it means that they are working frantically to fight against bacteria or parasites.
Sure enough, after the doctor inquired about the situation, he learned that Mr. Zhou likes to taste all kinds of delicacies every day, especially "raw pickles", refreshing sashimi, drunk shrimp and crabs, and blood cockles and mud snails...... Basically, I have to eat three or four times a week, and I don't refuse to come to bullfrog hot pot and snake gall wine.
After further examination, as expected, the test report showed that Mr. Zhou's hydatid IgG antibodies, cysticerci IgG antibodies, and Schizocephalic Mansoni IgG antibodies were all positive. In other words, he may have been infected with three parasites, hydatids, tapeworm solium and Schizocephalic mansoni at the same time.
After a course of insecticidal and anti-infective treatments, Mr. Zhou's condition was brought under control. He said that he would never touch raw meat or raw pickles again.
Doctor's Reminder:
The damage caused by the parasite is irreversible
There are many parasites in both seafood and freshwater fish, shrimp, crab and snails, including Clonorchis sinensis (liver fluke), fasciola ginger, lung fluke, Anisakis elegans, echinojaw nematode, etc.
"Steps such as wine pickling, vinegar soaking, and salting can only kill relatively weak parasites and bacteria at most, not completely. The doctor said that if the eosinophil index is significantly exceeded, and you have eaten raw foods such as sashimi, you should be alert to the possibility of parasitic infection, and it is recommended to go to the hospital as soon as possible to avoid delaying the condition.
▲ Tapeworm solium can be several meters long
In this case, the above three parasites infected by Mr. Zhou can parasitize a variety of tissues and organs of the human body, such as the brain, spinal cord, gastrointestinal tract, abdominal cavity and subcutaneous tissues, etc., resulting in corresponding symptoms, and in severe cases, irreversible sequelae and permanent damage.
Experts especially remind that for the sake of health, everyone should still follow the eating habits of eating cooked food in daily life and try to avoid eating raw food.
Except for parasites
Greed for "freshness" may also lead to eating hepatitis E
◎ Xiao Chen, a 27-year-old guy from Zhejiang, went to the beach to play together and ate seafood for 3 days in a row. Unexpectedly, when he returned home, he suddenly felt weak, his appetite was poor, and even the whites of his eyes were yellow, and his skin was waxy yellow...... When he went to the hospital, he found that Xiao Chen's liver function was seriously impaired, and it was acute liver failure caused by hepatitis E virus infection! The main culprit was those unclean seafood.
◎ Uncle Lin, who lives in Luohu, Shenzhen, ate mutton hot pot at a family dinner a week ago, and then had symptoms such as diarrhea and nausea, and after taking the medicine for a few days, not only did it not work, but also had symptoms such as strong brown urine, yellowing of the whites of his eyes and skin, and was finally diagnosed with acute hepatitis E. The incubation period of the hepatitis E virus is 2-8 weeks, and doctors speculated that some of the ingredients were not thoroughly cooked during the shabu-shabu process, which caused Uncle Lam's illness.
Hepatitis E is not a "niche" liver disease. The data shows that the incidence of hepatitis E has shown an upward trend, from 1.27 per 100,000 in 2004 to 2.02 per 100,000 in 2019, surpassing hepatitis A for many years and becoming the leading cause of acute hepatitis.
Professor Peng Liang, Deputy Director of the Guangdong Provincial Key Laboratory of Liver Disease Research and Assistant to the President of the Third Affiliated Hospital of Sun Yat-sen University, pointed out that the hepatitis E virus is mainly transmitted through fecal-oral transmission, that is, through drinking contaminated water and eating contaminated food, especially undercooked food. Therefore, when enjoying hot pot and Japanese food, we must make sure that the ingredients are thoroughly processed and cooked, and choose a regular restaurant to eat.
So, what are the symptoms to be aware of when hepatitis E infection occurs?
According to Peng Liang, there is a clear chain of hepatitis E infection - if you have recently eaten hot pot, Japanese food, raw pickled seafood, etc., or eaten not very clean takeaway, and then have symptoms such as fatigue, stomach distention, digestive tract discomfort, and even fever, you should go to the hospital in time.
If you become a "Minion", it means that jaundice in the body has increased and liver function has been impaired. "There is no doubt that it is necessary to go to the hospital immediately at this time. ”
Avoid parasite infection and prevent hepatitis E
Keep these three points in mind
01. Pay attention to personal hygiene
Cut your nails frequently, bathe frequently, change your clothes and quilts frequently, develop the habit of washing your hands before meals and after using the toilet, and do not play with "wild pets" such as frogs, tadpoles, and snails.
02. Pay attention to food hygiene
▶ Do not eat raw or undercooked meat (fish, shrimp, crab, snails) or aquatic plants (water chestnut, water chestnut, water chestnut, etc.);
▶ Change the bad eating habits of eating drunk shrimp, marinated river crab, cold river crab, pickled crab, drunken crab, lama paste, lama tofu, sashimi, fish porridge, swallowing snake gall bladder, drinking snake (turtle) blood, barbecue and shabu-shabu;
▶ Do not drink raw water, do not eat raw vegetables and unclean fruits and melons;
▶ Raw and cooked utensils, knives, and cutting boards are separated;
▶ Do not use fresh food containers to hold other food for direct consumption;
▶ Knives and cutting boards that have been processed before they can be reused;
03. Get vaccinated
There is currently no specific drug for the treatment of hepatitis E, and hepatitis E vaccination is the most economical and effective way to prevent hepatitis E.
The 2022 Consensus on the Prevention and Treatment of Hepatitis E specifically mentions three groups of people: patients with underlying liver diseases, women of childbearing age, and the elderly, who are at high risk of becoming more severely ill after being infected with hepatitis E, and may develop liver failure or even life-threatening. Therefore, it is recommended that everyone get vaccinated as early as possible to get protection as soon as possible to avoid irreversible damage and consequences.
编辑 | 尹蓁 责编 | 张秀丽
Integrated Sources | Beijing Daily, the First Hospital of Zhejiang University, Hangzhou Daily, Health Times, Guangdong Health Online, etc
Produced by the Guangdong Health Online all-media team