Trichinosis in the Canadian Arctic: Report of Five Outbreaks and a New Clinical Syndrome

Trichinosis is a serious but understudied medical problem in the Arctic. Forty-nine consecutive cases in the Inuit population of northeastern Canada are described. Most developed the disease after eating raw walrus, and the clinical presentation of most of these cases differed from previously report...

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Bibliographic Details
Published in:Journal of Infectious Diseases
Main Authors: MacLean, J. Dick, Viallet, Jean, Law, Cliff, Staudt, Miriam
Format: Text
Language:English
Published: Oxford University Press 1989
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Online Access:http://jid.oxfordjournals.org/cgi/content/short/160/3/513
https://doi.org/10.1093/infdis/160.3.513
Description
Summary:Trichinosis is a serious but understudied medical problem in the Arctic. Forty-nine consecutive cases in the Inuit population of northeastern Canada are described. Most developed the disease after eating raw walrus, and the clinical presentation of most of these cases differed from previously reported descriptions of classic trichinosis due to Trichinella spiralis . Unlike the classic syndrome of a brief period of diarrhea followed by fever, myalgia, muscle weakness, and edema, the most common presentation in these cases was a prolonged diarrhea without fever and with brief muscle symptoms. High peripheral eosinophilia, high Trichinella antibody serotiters, and little direct or indirect evidence of muscle invasion in many of those with the chronic diarrheal presentation suggest a new clinical syndrome due to a different species of Trichinella seen in the Arctic or to reinfection with Trichinella .