Examples of expertise of the connection of the disease with the profession in helminthiasis in veterinary service workers

Abstract

Timely and correct expertise of the connection between a parasitic disease and professions can significantly improve the quality of life of a patient due to the receipt of the prescribed insurance payments. However, in the available literature, there are practically no descriptions of expertise of patients with helminthiases. The study aims to highlight the specifics of the examination of the relationship of the disease with the profession in patients with helminthiases. There are two cases of the veterinarians with helminthiasis and the subsequent expertise of the connection of disease with the profession based on the materials of the archive of the Department of Occupational Pathology. The researchers illustrated the mechanism of proving the presence and absence of a connection between the disease and the profession using the example of helminthiasis with multiple organ invasion complicated by Churg-Strauss syndrome and a case of alveococcosis that entailed liver transplantation. It is noted that the peculiarities of the work of occupational pathology departments with patients suffering from parasitic diseases are that the diagnosis of invasion and adequate treatment are carried out at the previous stages of work with patients, usually infectious disease specialists. The Department of Occupational Pathology specializes in expert work to substantiate the presence or absence of a connection between a disease and a profession. In relation to patients with helminthiasis, the regulations of occupational pathology do not provide an exhaustive list of infectious and parasitic diseases related to the profession, as well as the exact post-syndrome manifestations. Therefore, both in a principled assessment of the possibility of a connection between the disease and the profession, and the formulation of specific manifestations of pathology, it is necessary to rely on a comprehensive analysis of information about the etiology and pathogenesis of the disease. Limitations. Due to the variety of variants of lesions in various helminthiasis, the described arguments for justifying the presence or absence of a connection between the disease and the profession cannot be essentially transferred to all possible variants of parasitic diseases in each situation without correction.