Document Detail

A large-scale outbreak of trichinellosis caused by Trichinella britovi in Turkey.
MedLine Citation:
PMID:  18705658     Owner:  NLM     Status:  MEDLINE    
An outbreak of trichinellosis occurred in Izmir, Turkey, between January and March 2004. The outbreak was caused by the consumption of raw meat balls made of beef deceptively mixed with pork infected with Trichinella britovi. A total of 1098 people who had consumed this food either in 14 restaurants or from the street vendors located in three different neighbourhoods, consulted six different healthcare centres with a wide range of clinical signs and symptoms. Of them, 418 (38.1%) patients fulfilled the criteria for the diagnosis of acute trichinellosis. The most commonly observed signs and symptoms were myalgia (89.2%), arthralgia (69.9%) and eyelid (67%) and facial oedema (65.8%). High levels of creatinine kinase (69.3%) and lactate dehydrogenase (93.8%) with leucocytosis (>10 000/mm(3), 58.9%) and eosinophilia (>1000/mm(3), 60.5%) were the most prominent laboratory findings. All, but 13 of these patients were treated with mebendazole or albendazole. Based on the physicians' assessments of disease severity, 78 (19%) patients were additionally given prednisolone in whom a significantly more rapid recovery of clinical signs and symptoms (e.g. fever, myalgia, facial and eyelid oedema) was observed, with a rapid improvement in leucocytosis, eosinophilia and muscle enzymes, compared with those, who had not received corticosteroids (P < 0.05). Beef illegally mixed with pork of unknown origin, by a wholesale butcher who had sold this product to restaurants and street vendors at a lower price than the prevailing market price of beef, was the cause of this large-scale outbreak in a country with a predominantly Muslim population.
N Akkoc; Z Kuruuzum; S Akar; A Yuce; F Onen; N Yapar; O Ozgenc; M Turk; D Ozdemir; M Avci; Y Guruz; A M Oral; E Pozio;
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Publication Detail:
Type:  Journal Article     Date:  2008-08-14
Journal Detail:
Title:  Zoonoses and public health     Volume:  56     ISSN:  1863-1959     ISO Abbreviation:  Zoonoses Public Health     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-04-07     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  101300786     Medline TA:  Zoonoses Public Health     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  65-70     Citation Subset:  IM    
Department of Internal Medicine, Division of Rheumatology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Anthelmintics / therapeutic use*
Disease Outbreaks / veterinary
Food Contamination / analysis*
Food Inspection
Food Parasitology
Meat Products / parasitology
Public Health
Treatment Outcome
Trichinella / isolation & purification*
Trichinellosis / drug therapy,  epidemiology*,  pathology,  transmission*
Turkey / epidemiology
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anthelmintics

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