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Diseases and Conditions Encyclopedia

 

trichinosis

 

Overview

Trichinosis (also known as trichinellosis) is an infection caused by a roundworm known as Trichinella. It is not to be confused with the parasite Trichomonas, which causes vaginal infections in women.

 

What is going on in the body?

Theroundworm is found in almost every meat-eating mammal. People usually become infected when they eat poorly cooked or raw meat, especially pork.

 

The larvae of the worm are found in cysts, or small capsules, in the meat. The individual's stomach juices dissolve the cyst and free the larvae. The larvae grow and mate in the person's bowels.

 

The female worms produce more larvae, which go from the bowels into the person's blood. The larvae then go from the blood vessels into the muscles and form new cysts.

 

What are the signs and symptoms of the infection?

Most of the time, trichinosis occurs without symptoms. Some people may experience an upset stomach, joint pain, and muscle aches.

 

If there are many larvae, the person may have more severe symptoms, such as:

 diarrhea
 nausea
 vomiting

 

When the worms leave the intestines and migrate through the tissues, symptoms can include the following:

 eye swelling
 fever
 muscle aches
 rash
 small eye hemorrhages

 

Rarely, serious infections of the heart, central nervous system, and lungs occur.

 

What are the causes and risks of the infection?

Trichinosis is caused by the roundworm Trichinella. Eating raw or inadequately cooked meat increases the risk of acquiring trichinosis.

What can be done to prevent the infection?

Trichinosis is prevented by thoroughly cooking meats, especially pork. Meat should be cooked so that all parts of it reach 150 degrees Fahrenheit. The larvae can also be killed by freezing the meat at 16 degrees Fahrenheit for 36 hours.

How is the infection diagnosed?

Diagnosis of trichinosis begins with a medical history and physical exam. The healthcare professional may order the following tests: an antibody titer test, to look for antibodies produced against the worma complete blood count, or CBCa muscle biopsy, in which a small piece of muscle tissue is examined under a microscope
 
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