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Triquinelose

Last reviewed: 1 Oct 2025
Last updated: 24 Jan 2025

Summary

Definition

History and exam

Key diagnostic factors

  • consumo de carne crua ou malcozida
  • contato com doente
  • mialgia e miosite
  • febre
  • edema facial/periorbital
  • conjuntivite e hemorragias subconjuntivais
Full details

Other diagnostic factors

  • hemorragias em estilhas subungueais e retinianas
  • outras características oculares
  • sinais e sintomas gastrointestinais
  • hepatomegalia
  • oligúria
  • exantema maculopapular
  • outras características cutâneas
  • disfagia
  • disfonia
  • dispneia
  • cefaleia
  • estado semelhante à paralisia
  • outras características neurológicas
Full details

Risk factors

  • consumo de carne suína malcozida ou crua
  • consumo de carne crua ou malcozida de cavalo ou outros animais domésticos
  • consumo de carne crua ou malcozida de animais de caça
  • consumo de carne crua ou malcozida de répteis
Full details

Diagnostic tests

1st tests to order

  • Hemograma completo com diferencial
  • creatina quinase e outras enzimas musculares
  • potássio sérico
  • albumina sérica
  • imunoglobulina E (IgE) sérica
Full details

Tests to consider

  • sorologia de anticorpos
  • biópsia muscular
  • eletromiografia
  • urinálise
  • creatinina sérica e clearance da creatinina
  • transaminases séricas
  • ressonância nuclear magnética (RNM) ou tomografia computadorizada (TC) cranioencefálica
  • eletroencefalograma (EEG)
  • análise do líquido cefalorraquidiano
  • eletrocardiograma (ECG)
  • troponina sérica
  • Ecocardiografia bidimensional
Full details

Treatment algorithm

ACUTE

adultos não gestantes

gestante

crianças

Contributors

Authors

Miguel G. Madariaga, MD, MSc, FACP
Miguel G. Madariaga

Infectious Diseases Consultant

Naples Community Hospital

Naples

FL

Disclosures

MGM declares that he has no competing interests.

Peer reviewers

Fabrizio Bruschi, MD

Professor of Parasitology

Department of Experimental Pathology BMIE

Faculty of Medicine and Surgery

University of Pisa

Pisa

Italy

Disclosures

FB is an author of a number of references cited in this topic.

Jean Dupouy-Camet, MD, PhD

Chef du Service de Parasitologie-Mycologie

Hôpital Cochin

Paris

France

Disclosures

JDC is an author of a number of references cited in this topic. JDC declares that he has no competing interests.

Christopher D. Huston, MD

Associate Professor

Division of Infectious Diseases

Department of Medicine

University of Vermont College of Medicine

Burlington

VT

Disclosures

CDH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Gottstein B, Pozio E, Nockler K. Epidemiology, diagnosis, treatment, and control of trichinellosis. Clin Microbiol Rev. 2009;22:127-45.Full text  Abstract

Centers for Disease Control and Prevention. Trichinellosis (trichinosis): clinical overview of trichinellosis. May 2024 [internet publication].Full text

Dupouy-Camet J, Murrell KD, eds. FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis. 2007 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Triquinelose images
  • Differentials

    • Gastroenterite bacteriana
    • Infecções virais respiratórias ou gastrointestinais
    • Glomerulonefrite
    More Differentials
  • Guidelines

    • International Commission on Trichinellosis: recommendations on the use of serological tests for the detection of Trichinella infection in animals and humans
    • FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis
    More Guidelines
  • Patient information

    Diarreia em crianças

    Diarreia em adultos

    More Patient information
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