Synonym(s)
Trichinosis
HistoryThis section has been translated automatically.
Owen and Paget, 1835; Virchow, 1859; von Zenker, 1860
DefinitionThis section has been translated automatically.
Notifiable worm disease.
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PathogenThis section has been translated automatically.
Trichinella spiralis.
Occurrence/EpidemiologyThis section has been translated automatically.
Worldwide spread. Rarely in Central Europe. Mostly sporadically occurring or in small epidemics.
EtiopathogenesisThis section has been translated automatically.
Absorption of the pathogens by consumption of larval pork. maturation of the worms in the small intestine. After 5 days: Birth of new larvae which penetrate the intestinal wall and enter the whole organism via the bloodstream.
Clinical featuresThis section has been translated automatically.
LaboratoryThis section has been translated automatically.
Eosinophilia, IgE increase; possible increase in serum creatinine kinase.
Differential diagnosisThis section has been translated automatically.
Internal therapyThis section has been translated automatically.
Albendazole (e.g. Eskazole Filmtbl.) 10-15 mg/kg bw daily in 2 daily doses or Mebendazole (Vermox Tbl.) 200-400 mg 3 times/day for 3 days, then 400-500 mg 3 times/day for 10 days Cave! Side effects, therefore follow exact dosage instructions!
For prevention of possible secondary disease symptoms accompanying therapy with 20-60 mg prednisone (e.g. Decortin Tbl.), in case of threatening complications initial, high-dose parenteral administration of up to 1 g.
ProphylaxisThis section has been translated automatically.
Sufficient cooking or frying of the meat.
LiteratureThis section has been translated automatically.
- Cortes-Blanco M et al (2002) Outbreak of trichinellosis in Caceres, Spain, December 2001-February 2002 Euro Surveill 7: 136-138
- Holstein A et al (1999) Father and son with muscle pain and loss of muscle strength. Acute trichinosis. Internist 40: 673-677
- Liu M et al (2002) Trichinellosis in China: epidemiology and control. Trends Parasitol 18: 553-556
- Owen R (1835) Description of a microscopic entozoon infesting the muscles of the human body. London Med Gaz 16: 125-127
- Roy SL (2003) Trichinellosis surveillance--United States, 1997-2001 MMWR Surveill Summ 52: 1-8
- Virchow R (1859) Recherches sur le developpement de la trichina spiralis (ce ver devient adulte dans l'intestin du chien). CR Seanc Acad Sci 49: 660-662
- Zenker FA (1860) On the trichinosis of humans. Arch Pathol Anat Physiol Klin Med 18: 561-572
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Incoming links (7)
Albendazole; Ige; Mebendazole; Secondary host; Swelling of the eyelids; Trichinosis; Worm infections;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer
