title: [A fatal case of trichinelliasis with intensive invasion and acute massive hemorrhage from a stomach ulcer].
abstract: The paper deals with a fatal case of trichinosis in a 61-year-old male due to acute massive gastric hemorrhage from the old silent gastric ulcer developed at week 8 after the onset of infection (or at week 3 after the appearance of the first clinical signs). At autopsy, the method of ingestion of cross-striated muscular samples revealed high Trichinella spiralis infection rates: from 135 larvae per g of muscles of the tongue to 512 larvae in the diaphragm. Infection had occurred due to long-term (1-month) ingestion of the pork obtained from a subsidiary farm of Moscow Province. A role of alcohol used by the patient for the infection period (about 30 days) and some other factors which could contribute to intensive infection and death are discussed.
authors.forename: A M
authors.initials: AM
authors.lastname: Bronshteĭn
authors.forename: R A
authors.initials: RA
authors.lastname: Firsova
authors.forename: T S
authors.initials: TS
authors.lastname: Murav'eva
authors.forename: N L
authors.initials: NL
authors.lastname: Veretennikova
authors.forename: E G
authors.initials: EG
authors.lastname: Kostylev
mesh_terms: D000208:Acute Disease; D000818:Animals; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000469:parasitology / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000469:parasitology; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis / Q000209:etiology* / Q000469:parasitology / Q000473:pathology; D017160:Trichinella spiralis / Q000302:isolation & purification; D014235:Trichinellosis / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology / Q000473:pathology