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"inflammatory systematic disease"

Case Report
Trichinosis Imitating an Inflammatory Systematic Disease
Maria Kosmidou, Georgios Papamichail, Eleftherios Klouras, Konstantinos Tsamis, Ioannis Sarmas, Iro Rapti, Haralampos Milionis
Korean J Parasitol 2021;59(5):497-499.
Published online October 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.5.497
Trichinellosis (trichinosis) is a parasitic infection caused by nematodes of the genus Trichinella. Pigs are the most common source of human infection. We describe a case of a 47-year-old woman presented with a wide range of intermittent symptoms including prolonged fever, dry cough, diarrhea, rash, myalgias and arthralgias. The patient was attended by physicians with various medical specialties such as dermatologists, rheumatologists and allergiologists, but they did not establish a certain diagnosis because of the gradual onset of symptoms, raising the suspicion of a systematic disease. After extensive work up, the diagnosis of trichinosis was established with femoral muscle biopsy compatible with inflammatory myopathy of parasitic etiology with trichinosis to be the predominant diagnosis. Despite the significant delay of diagnosis for almost three months, patient was treated successfully with no further complications. Trichinellosis is a food-borne treatable infection. Preventive measures include community education especially in zones where parasite prevalence is increased, improvement of farming and cooking techniques.

Citations

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  • Immunomodulatory and anti-inflammatory effects of fluvoxamine during the intestinal phase of Trichinella spiralis infection in mice
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    Parasitology Research.2025;[Epub]     CrossRef
  • C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians
    Dimitra S. Mouliou
    Diseases.2023; 11(4): 132.     CrossRef
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