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Am. J. Trop. Med. Hyg., 81(2), 2009, pp. 313-316
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


Cardiac Involvement in Trichinellosis: A Case of Left Ventricular Thrombosis

Diana Tint*, Maria E. Cocuz, Ovidiu F. Ortan, Mihai D. Niculescu, AND Mariana Radoi
School of Medicine, Transilvania University in Brasov, Brasov, Romania; ICCO Clinics, Brasov, Romania; Nutrition Research Institute at Kannapolis, Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

 

ABSTRACT

We report the case of a 42-year-old woman who was admitted to the hospital for fever, chills, nausea, vomiting, fatigue, myalgia, and general muscle weakness. All these symptoms had occurred 3 weeks after the ingestion of inadequately cooked pork meat, subsequently confirmed to be infested with Trichinella spiralis. Laboratory results showed mild leukocytosis, inflammation, and mild liver and muscle cytolytic syndrome, all suggestive of trichinellosis. Echocardiography showed apical hypokinesis and an apical mass (likely a thrombus). The immunologic assessment for the presence of Trichinella antigens was positive. The outcome was favorable after treatment with an anticoagulant, an antiaggregant, prednisone, and mebendazole. Follow-up controls showed the absence of any symptoms and thrombus, with only mild electrocardiogram modifications still present.

Received March 17, 2009. Accepted for publication April 22, 2009.

* Address correspondence to Diana Tint, Transilvania University of Brasov, School of Medicine, 56 Nicolae Balcescu Street, 500019 Brasov, Romania. E-mail: dianatint{at}yahoo.com

Authors’ addresses: Diana Tint, Maria E. Cocuz, and Mariana Radoi, Transilvania University of Brasov, School of Medicine, 56 Nicolae Balcescu Str., 500019 Brasov, Romania. Mihai D. Niculescu, UNC Nutrition Research Institute, 500 Laureate Way, Kannapolis, NC 28081. Ovidiu F. Ortan, ICCO Clinics, 8 Scolii Str., 500059 Brasov, Romania (current address), and Cardiology and Transplant Clinic, Cardiology Center, Targu Mures, Romania (former address).

Reprint requests: Diana Tint, Transilvania University of Brasov, School of Medicine, 56 Nicolae Balcescu Str., 500019 Brasov, Romania, Tel/Fax: 40-268-412185, E-mail: dianatint{at}yahoo.com.






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.