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Trichinellosis

Arabelle Abellard, MSc, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Trichinellosis, (trichinosis) is a parasitic infection acquired after ingestion of raw or undercooked meat  contaminated with viable microscopic nematode (roundworm) larvae from the ...

DIAGNOSIS

  • Diagnosis is initially based on clinical symptoms in the setting of adequate exposure to pork or wild game. Infection is confirmed by serology.

  • Laboratory diagnosis is made by identifying Tri...

TREATMENT

GENERAL MEASURES

  • Treatment is usually outpatient unless there are complications (cardiac, pulmonary, or neurologic)

  • Bed rest, antipyretics, analgesics are recommended for symptomatic managemen...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Activity: 
  • As tolerated

  • Bed rest may help with muscle pain.

Patient Monitoring

  • Monitor for cardiac, neurologic, and pulmonary complications.

  • Long courses of treatment ...

REFERENCES

1
Bălescu  A, Nemet  C, Zamfir  C, et al. Identifying risk factors for symptoms of severe trichinellosis—a case study of 143 infected persons in Brasov, Romania 2001–...

ADDITIONAL READING

  • Centers for Disease Control and Prevention. Surveillance for trichnellosis—United States, 2015 annual summary. Atlanta, Georgia: U.S. Department of Heal...

CODES

ICD10

B75 Trichinellosis 

SNOMED

  • 88264003 Infection by larvae of Trichinella spiralis (disorder)

  • 240867002 invasive trichinosis (disorder)

  • 240117006 trichinosis myositis (disorder)

CLINICAL PEARLS

  • The most common source of trichinellosis in the United States is wild bear meat. Worldwide, pork is the most common source.

  • Hallmark signs and symptoms of trichinellosis are periorbital...

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