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Atypical trichinellosis without eosinophilia associated with osteomyelitis.
Trop Doct 2011; 41(4):244-6TD

Abstract

Human trichinellosis is an important food-borne zoonosis caused by a nematode worm, Trichinella. The symptoms of the disease vary widely depending on the infection load, stage of infection and host immunity and include nausea, vomiting, abdominal pain, fever, facial edema and muscle pain. The disease is usually characterized by moderate to high eosinophilia. We hereby discuss an atypical case of trichinellosis, which presented with myositis of the thigh muscles but had no eosinophilia and no facial or periorbital edema and was associated with osteomyelitis of the femur. The diagnosis was made by the demonstration of anti-trichinella antibodies and later confirmed by the presence of larvae of Trichinella in the digested muscle biopsy. Physicians must be aware of trichinosis and should include it in their differential diagnosis when examining patients with fever and myositis with or without eosinophilia.

Authors+Show Affiliations

Department of Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. mldubey@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21831932

Citation

Dubey, Mohan Lal, et al. "Atypical Trichinellosis Without Eosinophilia Associated With Osteomyelitis." Tropical Doctor, vol. 41, no. 4, 2011, pp. 244-6.
Dubey ML, Khurana S, Singhal L, et al. Atypical trichinellosis without eosinophilia associated with osteomyelitis. Trop Doct. 2011;41(4):244-6.
Dubey, M. L., Khurana, S., Singhal, L., Dogra, S., & Singh, S. (2011). Atypical trichinellosis without eosinophilia associated with osteomyelitis. Tropical Doctor, 41(4), pp. 244-6. doi:10.1258/td.2011.110106.
Dubey ML, et al. Atypical Trichinellosis Without Eosinophilia Associated With Osteomyelitis. Trop Doct. 2011;41(4):244-6. PubMed PMID: 21831932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atypical trichinellosis without eosinophilia associated with osteomyelitis. AU - Dubey,Mohan Lal, AU - Khurana,Sumeeta, AU - Singhal,Lipika, AU - Dogra,Shivani, AU - Singh,Surjit, Y1 - 2011/08/10/ PY - 2011/8/12/entrez PY - 2011/8/13/pubmed PY - 2012/1/12/medline SP - 244 EP - 6 JF - Tropical doctor JO - Trop Doct VL - 41 IS - 4 N2 - Human trichinellosis is an important food-borne zoonosis caused by a nematode worm, Trichinella. The symptoms of the disease vary widely depending on the infection load, stage of infection and host immunity and include nausea, vomiting, abdominal pain, fever, facial edema and muscle pain. The disease is usually characterized by moderate to high eosinophilia. We hereby discuss an atypical case of trichinellosis, which presented with myositis of the thigh muscles but had no eosinophilia and no facial or periorbital edema and was associated with osteomyelitis of the femur. The diagnosis was made by the demonstration of anti-trichinella antibodies and later confirmed by the presence of larvae of Trichinella in the digested muscle biopsy. Physicians must be aware of trichinosis and should include it in their differential diagnosis when examining patients with fever and myositis with or without eosinophilia. SN - 1758-1133 UR - https://www.unboundmedicine.com/medline/citation/21831932/Atypical_trichinellosis_without_eosinophilia_associated_with_osteomyelitis_ L2 - http://journals.sagepub.com/doi/full/10.1258/td.2011.110106?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -