Trichinosis

Background

Caused by roundworm Trichinella
Transmitted by eating undercooked pork, polar bear, walrus

Clinical Features

Enteral phase: 2-7d after ingestion
- Nausea
- Heartburn/dyspepsia
- Diarrhea
Enteral phase
- Inflammatory response to larvae migrating through tissues
- Vasculitis
- Splinter hemorrhage
- Myalgia, weakness
- Fever
- Periorbital edema
- Cerebral venous thrombosis
- Encephalitis
- Pneumonia
- Myocarditis

Differential Diagnosis

Workup

Diagnosis is clinical
CBC may show eosinophilia

Management

Mebendazole or albendazole

Disposition

See Also

Parasitic Diseases
Travel Medicine

External Links

References

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