Volume 81, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


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 . 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 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.


Article metrics loading...

Loading full text...

Full text loading...



  1. Gottstein B, Pozio E, Nockler K, 2009. Epidemiology, diagnosis, treatment, and control of trichinellosis. Clin Microbiol Rev 22 : 127–145.
  2. el Koussa S, Chemaly R, Fabre-Bou Abboud V, Tamraz J, Haddad N, 1994. [Trichinosis and cerebral sinocavernous thrombosis]. Rev Neurol (Paris) 150 : 464–466.
  3. Evans RW, Pattern BM, 1982. Trichinosis associated with superior sagittal sinus thrombosis. Ann Neurol 11 : 216–217.
  4. Andy JJ, O’Connell JP, Daddario RC, Roberts WC, 1977. Trichinosis causing extensive ventricular mural endocarditis with superimposed thrombosis. Evidence that severe eosinophilia damages endocardium. Am J Med 63 : 824–829.
  5. Klimowicz J, Lotocka K, Warejko S, 1964. [Venous thrombosis with dysfunction of the lymphatic system in the clinical picture of trichinosis based on 2 observations.]. Wiad Parazytol 10 : 334–335.
  6. Covey JA, Mc MJ, Myers HL, 1949. Trichinosis as a cause of major arterial thrombosis. J Am Med Assoc 140 : 1212.
  7. Puljiz I, Beus A, Kuzman I, Seiwerth S, 2005. Electrocardiographic changes and myocarditis in trichinellosis: a retrospective study of 154 patients. Ann Trop Med Parasitol 99 : 403–411.
  8. Morakote N, Sukhavat K, Khamboonruang C, Siriprasert V, Suphawitayanukul S, Thamasonthi W, 1992. Persistence of IgG, IgM, and IgE antibodies in human trichinosis. Trop Med Parasitol 43 : 167–169.
  9. Bessoudo R, Marrie TJ, Smith ER, 1981. Cardiac involvement in trichinosis. Chest 79 : 698–699.
  10. Fourestie V, Douceron H, Brugieres P, Ancelle T, Lejonc JL, Gherardi RK, 1993. Neurotrichinosis. A cerebrovascular disease associated with myocardial injury and hypereosinophilia. Brain 116 : 603–616.
  11. Dupouy-Camet J, Kociecka W, Bruschi F, Bolas-Fernandez F, Pozio E, 2002. Opinion on the diagnosis and treatment of human trichinellosis. Expert Opin Pharmacother 3 : 1117–1130.
  12. Siwak E, Dron D, Pancewicz S, Zajkowska J, Snarska I, Szpakowicz T, Januszkiewicz E, 1994. [Changes in ECG examination of patients with trichinosis]. Wiad Lek 47 : 499–502.
  13. Kerebel S, Paule P, Jego C, La Folie T, Cellarier G, Poyet R, Laurent P, Bouchiat C, Carlioz R, 2008. [Myocarditis caused by Trichinella spiralis: a case report]. Ann Cardiol Angeiol (Paris) 57 : 127–130.
  14. Vizzardi E, D’Aloia A, Zanini G, Fiorina C, Chiari E, Nodari S, Dei Cas L, 2008. Tako-tsubo-like left ventricular dysfunction: transient left ventricular apical ballooning syndrome. Int J Clin Pract. Epub ahead of print.
  15. Vujisic B, Najdanovic L, Simic N, 1991. [Cardiac trichinosis–echocardiographic study]. Glas Srp Akad Nauka [Med] 40 : 113–116.

Data & Media loading...

  • Received : 17 Mar 2009
  • Accepted : 22 Apr 2009

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error