Imported Trichinellosis with Severe Myositis. Report of a Case.
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Accession number;99A0269811
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| Title;Imported Trichinellosis with Severe Myositis. Report of a Case. |
| Author;
SHIOTA TSUNEZO
(Kyoto Prefect. Univ. of Med.)
ARIZONO NAOKI
(Kyoto Prefect. Univ. of Med.)
YOSHIOKA TETSURO
(Kyoto Munic. Hosp.)
ISHIKAWA YASUHIRO
(Kyoto Munic. Hosp.)
FUJITAKE JUNKO
(Kyoto Munic. Hosp.)
FUJII HAYATO
(Kyoto Munic. Hosp.)
TATSUOKA YOSHIHISA
(Kyoto Munic. Hosp.)
KIM Y-K
(Kyoto Munic. Hosp.)
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Journal Title;Journal of the Japanese Association for Infectious Diseases
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Journal Code:Z0760A
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ISSN:0387-5911
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VOL.73;NO.1;PAGE.76-82(1999)
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| Figure&Table&Reference;FIG.7, TBL.1, REF.20 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 38-year-old Japanese male who had traveled in China from September 13 to October 5, 1997, developed fever and severe conjunctivitis from October 20. After he was hospitalized in Kyoto City Hospital for persistent high fever on October 29, he develped muscular weakness and dysphagia which continued for two weeks. An electromyogram showed a myogenic pattern, and laboratory findings showed significant elevation of serum enzyme levels of muscle origin: CPK, 3,095IU/l; aldorase, 195IU/l; myoglobin, 7,570ng/ml, and myoglobinuria, 94,700ng/ml. The WBC was 10,800/.MU.l with 45% eosinophils. Muscular biopsy showed degeneration of muscle fibers with infiltration of macrophages and lymphocytes. On further inquiry, it was revealed that the patient had eaten smoked bear meat in China on September 30, three weeks prior to the onset of symptoms. A dot-ELISA serologic test for parasites was positive for Trichinella. Further, a coiled 1.2mm long Trichinella larve was recovered from approximately 100mg of frozen biopsied muscle by an enzyme digestion method. Mebendazole was given to the patient at a dosage of 200mg/day for seven days. CPK levels were normalized within 3 days of the beginning of the treatment, and he was discharged without any symptoms. Physicians must be aware of trichinellosis and should include it in their differential diagnosis when examining patients with myositis and eosinophilia of unknown origin. (author abst.) |
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