[Troponin dosage in a patient with asymptomatic myocarditis due to trichinellosis].
Human trichinellosis is a potentially severe parasitic disease occurring after ingestion of undercooked meat infected with Trichinella sp. larvae. We report the case of a patient who ate an undercooked bear meat hunted in Canada; he presented with the usual symptoms of trichinellosis (i.e, facial oedema, myalgias and fever) complicated with an asymptomatic myocarditis. Myocarditis is a rare, but potentially lethal complication of trichinellosis. Myocarditis should be screened systematically even when specific symptoms are missing; dosage of troponin serum is a simple and reliable mean for such screening.
Lachkar
S
S
Service des maladies infectieuses et tropicales, centre hospitalo-universitaire de Rouen, hôpital Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Abboud
P
P
Gargala
G
G
Etienne
M
M
Gauliard
E
E
Tron
C
C
Favennec
L
L
Gueit
I
I
Caron
F
F
Dupouy-Camet
J
J
D015766:Albendazole / Q000008:administration & dosage / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D015153:Blotting, Western; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D004797:Enzyme-Linked Immunosorbent Assay; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008460:Meat / Q000009:adverse effects; D008875:Middle Aged; D009205:Myocarditis / Q000175:diagnosis / Q000209:etiology*; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D013997:Time Factors; D014195:Travel; D016896:Treatment Outcome; D014235:Trichinellosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014336:Troponin / Q000097:blood*; D001503:Ursidae
D000871:Anthelmintics; D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D014336:Troponin; D011239:Prednisolone; D015766:Albendazole