From Big Medical Encyclopedia

TOMINKSOZ — the helminthosis from group of nematodoses which is characterized by damage of airways.

In the Soviet Union T. at the person for the first time described To. II. Scriabin in 1939 (all several cases of diseases are registered). Abroad T. at people it is not known though T. at animals it was described in France, the USA and other countries.

The activator — Thominx aerophi-lus (Creplin, 1839), Skrjabin, Schikho-balova. 1954, belongs to this. Capillari id ae Neu veil — Lemaire, 1936 from group Trichocephalida Skrjabin, Schulz, 1928. Tominksa — threadlike nematodes light gray, sometimes pinkish color with thinner head end.

A male of 15 in size — 18 <0,06 — 0,07 mm. A female of 18 in size — 20 X 0,096 — 0,105 mm. Eggs of 0,062 in size — 0,077

X X 0,033 — 0,037 mm, bochonk about on ides ache forms, asymmetric, with pro-barrels on both poles, remind eggs of a threadworm.

D ef and and it ivny (ok to an oichata of l n y-

mi) owners of tominks are dogs, cats and wild fur-bearing animals, napr, foxes, polar foxes, martens, a sable, minks, and also occasionally the person; helminths parasitize at them in bronchial tubes, a trachea and a nasal cavity. The intermediate owner — an earthworm, in a body to-rogo a larva of a tomin-ks there live more than 11 months.

Infection of animals occurs usually during the aestivo-autumnal period during the eating of the earthworms struck with larvae of a tominks. Infection of the person is possible at pollution of hands contents of accidentally crushed infested earthworms during fishing, excavation, work on a kitchen garden, etc. In a body of animals and the person of a larva make migration with blood or a lymph from intestines in bronchial tubes and a trachea; development to a puberal stage happens in 25 — 29 days. The term of life of a parasite in an organism of the definitivny owner — about a year.

Wedge, picture T. at the person it is characterized by a long current with the phenomena of tracheitis (see), bronchitis (see), bronchial pneumonia (see Pneumonia), the barking painful pertussoid with allocation of a large number of the foamy mucopurulent phlegm containing filched Kurshmanna and eosinophils (see the Phlegm), sometimes streaks of blood; the disease often proceeds in the form of asthmatic attacks from eozpnofiliy blood to 25 — 30% and above, increase in ROE up to 45 mm! hour.

Diagnosis of T. put at detection of eggs of helminth in a phlegm or in excrements (see. Helmintologic methods of a research).

Treatment consists in intratracheal administration of drugs of iodine and appointment in a ditrazin of citrate or levamisole (decarice).

The forecast for life favorable. However dragged on T. can lead to exhaustion of the patient. Due to the sensitization of an organism recovery even after death of parasites occurs slowly (attacks of asthmatic character are observed for a number of years).

Prevention consists in washing of hands after excavation and contact with earthworms.

See also Nematodoses.

Bibliography: Ananyina N. O. To a question of a tominksoza of lungs, Soy. medical, No. 3, page 136, 1958; The Multivolume guide

to microbiology, clinic and epidemiology of infectious diseases, under the editorship of H. N. Zhukova-Verezhnikov, t. 9, page 651, M., 1968; Podjyapolskaya V. P. and Kapustin V. F. Helminthic diseases of the person, page 141, M., 1958; Skipi-na JI. V. Sluchay of a tominksoz of the person, Medical parazitol., t. 45, No. 5, page 607, 1976; Scriabin K. I. Tominksoz of lungs — new helminthosis of the person, in the same place, t. 8, No 4, page 3, 1939.

V. K. Karnaukhov