Myocarditis caused by Trichinella spiralis: a case report

Trichinellosis is a cosmopolitan nematodosis which is rare in the developed countries. Myocarditis represents the most frequent form of cardiac complications, sometimes lethal. The authors report the observation of a 36-years-old patient admitted for trichinellosis, who presented asymptomatic electr...

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Bibliographic Details
Published in:Annales de cardiologie et d'angéiologie 2008-04, Vol.57 (2), p.127-130
Main Authors: Kérébel, S, Paule, P, Jégo, C, La Folie, T, Cellarier, G, Poyet, R, Laurent, P, Bouchiat, C, Carlioz, R
Format: Article
Language:fre
Subjects:
Adrenal Cortex Hormones - therapeutic use
Adult
Albendazole - therapeutic use
Animals
Antiprotozoal Agents - therapeutic use
Humans
Magnetic Resonance Imaging, Cine
Male
Myocarditis - diagnosis
Myocarditis - drug therapy
Myocarditis - parasitology
Trichinella spiralis
Trichinellosis - complications
Trichinellosis - drug therapy
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Summary:Trichinellosis is a cosmopolitan nematodosis which is rare in the developed countries. Myocarditis represents the most frequent form of cardiac complications, sometimes lethal. The authors report the observation of a 36-years-old patient admitted for trichinellosis, who presented asymptomatic electrocardiographic modifications and a rise in the troponine I. The magnetic resonance imaging (MRI) after gadolinium injection, highlighted an underepicardic late raising rendering the diagnosis of myocarditis highly probable. The paraclinic anomalies were corrected gradually under antiparasitarian treatment. Besides the EKG, the MRI is a non-invasive and repetitive method allowing as well the positive diagnosis as the follow-up of those patients.
ISSN:0003-3928