Trichinellosis

Reviewed 06/2018

BASICS

DESCRIPTION

A parasitic (nematode) disease that develops after ingestion of contaminated meat (typically pork or wild game) containing viable cysts of Trichinella spiralis. Rarer cases are attri...

DIAGNOSIS

Diagnosis is based on symptoms consistent with trichinellosis and confirmatory labs in the setting of appropriate exposure to pork or wild game.

HISTORY

Consumption of undercooked pork or wil...

TREATMENT

GENERAL MEASURES

Outpatient unless complications (cardiac, pulmonary, or neurologic)
CDC for appropriate diagnostic tests: (404) 639-3311
http://www.cdc.gov/parasites/trichinellosis/gen_info/fa...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Activity:

As tolerated
Bed rest may help muscular pain.

Patient Monitoring

Monitor for cardiac, neurologic, and pulmonary complications.
Long courses of treatment wit...

REFERENCES

Adams DA, Jajosky RA, Ajani U, et al; for Centers for Disease Control and Prevention. Summary of notifiable diseases—United States, 2012. MMWR Morb Mortal Wkly Rep. 2014;61(53):1–121...

CODES

ICD10

B75 Trichinellosis

ICD9

124 Trichinosis

SNOMED

88264003 Infection by larvae of Trichinella spiralis (disorder)
240867002 invasive trichinosis (disorder)
240117006 trichinosis myositis (disorder...

CLINICAL PEARLS

The most common sources of trichinellosis in the United States is wild bear meat. Worldwide, pork is the most common source.
Hallmark signs and symptoms of trichinellosis are periorbita...

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