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[Pig-slaughtering at home. Customs do not change. An infectological case report from a historical point of view].
Orv Hetil 2019; 160(24):952-957OH

Abstract

We report a case of a 41-year-old female patient presenting with watery diarrhoea and myalgia in the winter-season. Before her symptoms started she had participated in a pig slaughtering with her family. Some of the family members also became ill. On her physical examination periorbital odema and myalgia were found. Eosinophilia, hypalbuminaemia, elevated lactate dehydrogenase and creatin kinase levels were detected on laboratory investigations. The clinical picture, the laboratory findings and background epidemiological data implied the diagnosis of trichinellosis and albendazol was started. Serum gained on the 22nd post-infectious day turned out to be equivocal for trichinellosis. For this reason and because of the refractory fever a muscle-biopsy was done. Granulomatous myositis described by histology and Trichinella seropositivity from the repeated serum sample on the 62nd post-infectious day finally confirmed the diagnosis. During the course of the disease, we experienced elevation of troponin I suggesting myocarditis, but it was accompanied neither with abnormal ECG signs nor characteristic symptoms. Almost a century ago, a case report was published in Hungarian with a similar introduction. Trichinellosis in that epidemic setting led to the death of five people. Orv Hetil. 2019; 160(24): 952-957.

Authors+Show Affiliations

Infektológiai Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest, Albert Flórián út 5-7., 1097.Infektológiai Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest, Albert Flórián út 5-7., 1097.Parazitológiai Osztály, Országos Közegészségügyi Intézet Budapest.Szemészeti Szakrendelés, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest.Sebészeti Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest.Felnőtt Kardiológiai Osztály, Gottsegen György Országos Kardiológiai Intézet Budapest.Patológiai Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest.Infektológiai Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest, Albert Flórián út 5-7., 1097.Infektológiai Osztály, Dél-pesti Centrumkórház, Országos Hematológiai és Infektológiai Intézet Budapest, Albert Flórián út 5-7., 1097.

Pub Type(s)

English Abstract
Journal Article

Language

hun

PubMed ID

31433234

Citation

Dezsényi, Balázs, et al. "[Pig-slaughtering at Home. Customs Do Not Change. an Infectological Case Report From a Historical Point of View]." Orvosi Hetilap, vol. 160, no. 24, 2019, pp. 952-957.
Dezsényi B, Szabó BG, Danka J, et al. [Pig-slaughtering at home. Customs do not change. An infectological case report from a historical point of view]. Orv Hetil. 2019;160(24):952-957.
Dezsényi, B., Szabó, B. G., Danka, J., Ocskay, L., Bor, L., Csepregi, A., ... Budai, J. (2019). [Pig-slaughtering at home. Customs do not change. An infectological case report from a historical point of view]. Orvosi Hetilap, 160(24), pp. 952-957. doi:10.1556/650.2019.31405.
Dezsényi B, et al. [Pig-slaughtering at Home. Customs Do Not Change. an Infectological Case Report From a Historical Point of View]. Orv Hetil. 2019;160(24):952-957. PubMed PMID: 31433234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Pig-slaughtering at home. Customs do not change. An infectological case report from a historical point of view]. AU - Dezsényi,Balázs, AU - Szabó,Bálint Gergely, AU - Danka,József, AU - Ocskay,László, AU - Bor,László, AU - Csepregi,András, AU - Babarczi,Edit, AU - Petrovicz,Edina, AU - Budai,József, PY - 2019/8/22/entrez KW - eosinophilia KW - myocarditis KW - trichinellosis SP - 952 EP - 957 JF - Orvosi hetilap JO - Orv Hetil VL - 160 IS - 24 N2 - We report a case of a 41-year-old female patient presenting with watery diarrhoea and myalgia in the winter-season. Before her symptoms started she had participated in a pig slaughtering with her family. Some of the family members also became ill. On her physical examination periorbital odema and myalgia were found. Eosinophilia, hypalbuminaemia, elevated lactate dehydrogenase and creatin kinase levels were detected on laboratory investigations. The clinical picture, the laboratory findings and background epidemiological data implied the diagnosis of trichinellosis and albendazol was started. Serum gained on the 22nd post-infectious day turned out to be equivocal for trichinellosis. For this reason and because of the refractory fever a muscle-biopsy was done. Granulomatous myositis described by histology and Trichinella seropositivity from the repeated serum sample on the 62nd post-infectious day finally confirmed the diagnosis. During the course of the disease, we experienced elevation of troponin I suggesting myocarditis, but it was accompanied neither with abnormal ECG signs nor characteristic symptoms. Almost a century ago, a case report was published in Hungarian with a similar introduction. Trichinellosis in that epidemic setting led to the death of five people. Orv Hetil. 2019; 160(24): 952-957. SN - 1788-6120 UR - https://www.unboundmedicine.com/medline/citation/31433234/[Pig-slaughtering_at_home._Customs_do_not_change._An_infectological_case_report_from_a_historical_point_of_view] L2 - http://www.akademiai.com/doi/full/10.1556/650.2019.31405?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -