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2015
DOI: 10.1586/14787210.2015.1075394
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Uncertainties in diagnosis, treatment and prevention of trichinellosis

Abstract: This review summarizes expert opinion and evidence on the diagnosis, treatment and prevention of trichinellosis. Laboratory test results are not sufficiently sensitive for the diagnosis of individual patients when outbreaks are suspected. A likely diagnosis depends on identifying a potential common source of exposure supported by detection of antibodies to Trichinella antigens in a higher than expected proportion of exposed patients. Expert opinion is discordant, but for patients with symptomatic disease, ther… Show more

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Cited by 22 publications
(25 citation statements)
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“…Currently, the clinical diagnosis of trichinellosis is very difficult because most Trichinella infections are asymptomatic or with non-specific clinical manifestations (Gottstein et al, 2009; Shimoni and Froom, 2015). Microscopic examination and serological assays are used to diagnosis of Trichinella infection in domestic or wild boars (Gottstein et al, 2009; Cuttell et al, 2012; Fu et al, 2013; Lin et al, 2013; Shimoni and Froom, 2015; Sun et al, 2015). Microscopic examinations are routinely used for the detection of Trichinella larvae in muscle tissues at slaughtering.…”
Section: Introductionmentioning
confidence: 99%
“…Currently, the clinical diagnosis of trichinellosis is very difficult because most Trichinella infections are asymptomatic or with non-specific clinical manifestations (Gottstein et al, 2009; Shimoni and Froom, 2015). Microscopic examination and serological assays are used to diagnosis of Trichinella infection in domestic or wild boars (Gottstein et al, 2009; Cuttell et al, 2012; Fu et al, 2013; Lin et al, 2013; Shimoni and Froom, 2015; Sun et al, 2015). Microscopic examinations are routinely used for the detection of Trichinella larvae in muscle tissues at slaughtering.…”
Section: Introductionmentioning
confidence: 99%
“…Although these drugs are described as relatively safe, they can induce bone marrow suppression. In addition, they cannot be used in pregnant women due to their teratogenic effects (Shimoni and Froom, 2015 ). Despite the control measures against trichinellosis are mainly based in controlled management of domestic pigs (Gamble et al, 2019 ) and “post-harvest measures,” including testing and processing methods, as well as consumer education (Noeckler et al, 2019 ), vaccination of pigs represents an alternative approach to trichinellosis control, especially for those pigs feeding under backyard or free-ranging conditions (Zhang N. et al, 2018 ).…”
Section: Veterinary Vaccine Development Against Fbds Caused By Parasimentioning
confidence: 99%
“…Besides, traditional anthelminthic drugs are active against enteric stages of T. spiralis, but currently no anthelminthic drug has proven to be effective against the parasite systemic stages [7,8]. Furthermore, serious side effects including bone marrow suppression and teratogenic effects are observed [7,8].…”
Section: Natural Remedies In the Fight Against Parasitesmentioning
confidence: 99%