Unusual clinical course of trichinellosis with relapse

Abstract

SummaryDuring an outbreak of trichinellosis in Eastern Slovakia in 2008, 16 people were hospitalized, including 10 patients having specific anti-Trichinella antibodies. The disease relapse was seen in a 68-year-old woman two weeks after her discharge from hospital, where she was treated with albendazole and prednisone for 10 days. Clinical symptoms of trichinellosis, eosinophilia, elevated CRP and LDH levels were observed again with recorded elevation of aminotransferase levels during the relapse. Herein we discuss a potential cause of unusual relapse of trichinellosis with liver damage in a female patient with type II diabetes mellitus.

The viability of Trichinella spiralis larvae in frozen pork and wild boar meat revealed by the experimental infection of laboratory mice

“…The emergence of trichinellosis in some countries is explained by a better knowledge of the disease (formerly often misdiagnosed as infl uenza), modifi cations of consumer habits, re-forestation in Europe and increase of wild game, importation of meats from countries where trichinellosis is endemic and failure of veterinary control due to human error or to social upheavals. This disease linked to meat-consumption, which is theoretically easy to prevent by adequate cooking, freezing and veterinary controls, should deserve the attention of all persons involved in public health and it could be eradicated at least from domestic pigs (Dupouy-Camet, 2000;Paraličová et al, 2013). There is the possibility of farm animals to get infection from rats or other infected material being hazardously mixed with hay or other feed.…”