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
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
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
Diagnostic tests
1st tests to order
- Hemograma completo com diferencial
- creatina quinase e outras enzimas musculares
- potássio sérico
- albumina sérica
- imunoglobulina E (IgE) sérica
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
Treatment algorithm
adultos não gestantes
gestante
crianças
Contributors
Authors
Miguel G. Madariaga, MD, MSc, FACP

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
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.

Differentials
- Gastroenterite bacteriana
- Infecções virais respiratórias ou gastrointestinais
- Glomerulonefrite
More DifferentialsGuidelines
- 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 GuidelinesPatient information
Diarreia em crianças
Diarreia em adultos
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