Trichinosis diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.[1][2]
Diagnostic Criteria
- Clinical criteria
- At least 3 of the following 6 diagnostic criteria are met:
- Muscle soreness and pain
- Diarrhoea
- Fever
- Facial swelling
- Subconjunctival, subungual and retinal bleeding
- Increased eosinophils in the blood
- At least 3 of the following 6 diagnostic criteria are met:
- Laboratory criteria
- At least 1 of the following 2 diagnostic criteria are met:
- Confirmation of anti-trichinella IgG by ELISA, western-blot or IFA
- Confirmation of trichinella larvae in muscle tissue by biopsy
- At least 1 of the following 2 diagnostic criteria are met:
- Epidemiological criteria
- At least 1 of the following 3 diagnostic criteria are met:
- Epidemiological connection to exposure of the same common source of a patient with confirmed laboratory result
- Laboratory result confirming consumption of potentially parasitised products from an infected animal
- Laboratory result confirming consumption of parasitised meat
- At least 1 of the following 3 diagnostic criteria are met:
- Confirmed case:
- Patient with clinical and laboratory criteria within the last 2 months
- Possible case:
References
- ↑ 1.0 1.1 FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016
- ↑ 2.0 2.1 Gottstein B, Pozio E, Nöckler K (2009). "Epidemiology, diagnosis, treatment, and control of trichinellosis". Clin Microbiol Rev. 22 (1): 127–45, Table of Contents. doi:10.1128/CMR.00026-08. PMC 2620635. PMID 19136437.