What is trichinellosis?
Trichinellosis, also called trichinosis, is caused by eating raw or undercooked meat of animals infected with the larvae of a species of worm called Trichinella. Infection occurs commonly in certain wild carnivorous (meat-eating) animals such as bear or cougar, or omnivorous (meat and plant-eating) animals such as domestic pigs or wild boar.
What are the signs and symptoms of a trichinellosis infection?
The signs, symptoms, severity and duration of trichinellosis vary. Nausea, diarrhea, vomiting, fatigue, fever, and abdominal discomfort are often the first symptoms of trichinellosis. Headaches, fevers, chills, cough, swelling of the face and eyes, aching joints and muscle pains, itchy skin, diarrhea, or constipation may follow the first symptoms. If the infection is heavy, patients may experience difficulty coordinating movements, and have heart and breathing problems. In severe cases, death can occur.
For mild to moderate infections, most symptoms subside within a few months. Fatigue, weakness, muscle pain, and diarrhea may last for months.
How soon after infection will symptoms appear?
Abdominal symptoms can occur 1-2 days after infection. Further symptoms usually start 2-8 weeks after eating contaminated meat. Symptoms may range from very mild to severe and relate to the number of infectious worms consumed in meat. Often, mild cases of trichinellosis are never specifically diagnosed and are assumed to be the flu or other common illnesses.
How does infection occur in humans and animals?
When a human or animal eats meat that contains infective Trichinella cysts, the acid in the stomach dissolves the hard covering of the cyst and releases the worms. The worms pass into the small intestine and, in 1-2 days, become mature. After mating, adult females lay eggs. Eggs develop into immature worms, travel through the arteries, and are transported to muscles. Within the muscles, the worms curl into a ball and encyst (become enclosed in a capsule). The life cycle repeats when meat containing these encysted worms is consumed by another human or animal.
Am I at risk for trichinellosis?
If you eat raw or undercooked meats, particularly bear, pork, wild feline (such as a cougar), fox, dog, wolf, horse, seal, or walrus, you are at risk for trichinellosis.
Can I spread trichinellosis to others?
No. Infection can only occur by eating raw or undercooked meat containing Trichinella worms.
What should I do if I think I have trichinellosis?
See your health care provider who can order tests and treat symptoms of trichinellosis infection. If you have eaten raw or undercooked meat, you should tell your health care provider.
How is trichinellosis infection diagnosed?
A blood test or muscle biopsy can show if you have trichinellosis.
How is trichinellosis infection treated?
Several safe and effective prescription drugs are available to treat trichinellosis. Treatment should begin as soon as possible and the decision to treat is based upon symptoms, exposure to raw or undercooked meat, and laboratory test results.
Is trichinellosis common in the United States?
Infection used to be more common and was usually caused by ingestion of undercooked pork. However, infection is now relatively rare. During 2008–2010, 20 cases were reported per year on average. The number of cases decreased beginning in the mid-20th century because of legislation prohibiting the feeding of raw-meat garbage to hogs, commercial and home freezing of pork, and the public awareness of the danger of eating raw or undercooked pork products. Cases are less commonly associated with pork products and more often associated with eating raw or undercooked wild game meats.
Article (AJTMH -- August, 2012): Outbreak of Human Trichinellosis in Northern California Caused by Trichinella murrelli
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