• 1

    Gottstein B, Pozio E, Nockler K, 2009. Epidemiology, diagnosis, treatment, and control of trichinellosis. Clin Microbiol Rev 22 :127–145.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 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.

    • Search Google Scholar
    • Export Citation
  • 15

    Vujisic B, Najdanovic L, Simic N, 1991. [Cardiac trichinosis–echocardiographic study]. Glas Srp Akad Nauka [Med] 40 :113–116.

 
 
 

 

 
 
 

 

 

 

 

 

 

Cardiac Involvement in Trichinellosis: A Case of Left Ventricular Thrombosis

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  • 1 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

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.

Author Notes

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@yahoo.com.
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