Trichinosis: Difference between revisions
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==Background== | ==Background== | ||
*''Trichinella | *Caused by roundworm ''Trichinella'' | ||
* | *Transmitted by eating undercooked pork, polar bear, walrus | ||
==Clinical Features== | ==Clinical Features== | ||
*Splinter | *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== | ==Differential Diagnosis== | ||
==Workup== | ==Workup== | ||
*Diagnosis is clinical | |||
*CBC may show eosinophilia | |||
==Management== | ==Management== | ||
*[[Mebendazole]] or [[albendazole]] | |||
==Disposition== | ==Disposition== | ||
Latest revision as of 06:52, 17 August 2017
Background
- Caused by roundworm Trichinella
- Transmitted by eating undercooked pork, polar bear, walrus
Clinical Features
- Enteral phase: 2-7d after ingestion
- 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