A trichinosis outbreak caused by wild boar meat in Turkey

Heper, Yasemin; Yilmaztepe, F.; Komitova, Р.; Akalın, Halis; Vutova, K.; Helvacı, Safiye

doi:10.1051/parasite/2005122191

Cited by 11 publications

(6 citation statements)

References 2 publications

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Section: Discussionmentioning

confidence: 99%

“…Previously in Turkey, Trichinella infection (at that time all Trichinella larvae were considered to belong to T. spiralis) was documented in both domestic and wild pigs (Nazli and Inal, 1987), and human trichinellosis (13 infected people) was reported from Istanbul caused by pork from a wild boar (Merdivenci et al, 1977). In addition, two family outbreaks affecting 40 people in Bursa and seven in Antalya, were also documented because of pork consumption from wild boars (Heper et al, 2005;Ozdemir et al, 2005). Human infections with T. britovi have been reported in Algeria, Bulgaria, France, Italy, Slovak Republic and Spain as result of consumption of pork, dog, horse and game meat (Pozio et al, 2001Gomez-Garcia et al, 2003;Ozdemir et al, 2005;Nezri et al, 2006;Pozio and Murrell, 2006;Petkova et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…In Turkey, which is largely a Muslim country, consumption of pork is quite unusual and trichinellosis has been believed to be extremely rare. Only three small outbreaks of trichinellosis involving about 60 people have been documented so far because of the consumption of pork from wild boars (Merdivenci et al., 1977; Heper et al., 2005; Ozdemir et al., 2005).…”

Section: Introductionmentioning

confidence: 99%

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A Large‐Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkey

Akkoç¹,

Kuruuzum²,

Akar³

et al. 2009

Zoonoses and Public Health

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An outbreak of trichinellosis occurred in Izmir, Turkey, between January and March 2004. The outbreak was caused by the consumption of raw meat balls made of beef deceptively mixed with pork infected with Trichinella britovi. A total of 1098 people who had consumed this food either in 14 restaurants or from the street vendors located in three different neighbourhoods, consulted six different healthcare centres with a wide range of clinical signs and symptoms. Of them, 418 (38.1%) patients fulfilled the criteria for the diagnosis of acute trichinellosis. The most commonly observed signs and symptoms were myalgia (89.2%), arthralgia (69.9%) and eyelid (67%) and facial oedema (65.8%). High levels of creatinine kinase (69.3%) and lactate dehydrogenase (93.8%) with leucocytosis (>10 000/mm(3), 58.9%) and eosinophilia (>1000/mm(3), 60.5%) were the most prominent laboratory findings. All, but 13 of these patients were treated with mebendazole or albendazole. Based on the physicians' assessments of disease severity, 78 (19%) patients were additionally given prednisolone in whom a significantly more rapid recovery of clinical signs and symptoms (e.g. fever, myalgia, facial and eyelid oedema) was observed, with a rapid improvement in leucocytosis, eosinophilia and muscle enzymes, compared with those, who had not received corticosteroids (P < 0.05). Beef illegally mixed with pork of unknown origin, by a wholesale butcher who had sold this product to restaurants and street vendors at a lower price than the prevailing market price of beef, was the cause of this large-scale outbreak in a country with a predominantly Muslim population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Large‐Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkey

Akkoç¹,

Kuruuzum²,

Akar³

et al. 2009

Zoonoses and Public Health

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“…Early magnetic resonance imaging (MRI) to diagnose the condition and an early treatment helped prevent long-term morbidity in this patient [7] . In Turkey, trichinosis is rare, but a similar outbreak was reported in 2003, in a 35-year-old male who had consumed undercooked wild boar meat [8] . Our case was from the region where a recent outbreak of trichinosis occurred, and he gave a history of consuming wild boar meat, so we considered parasitic abscess in our differential diagnosis.…”

Section: Discussionmentioning

confidence: 82%

Incidental Finding of Trichinella in a Patient with Gluteal Abscess: A Case Report

Joshi¹,

Hatwal²,

Joshi³

et al. 2014

Mediterr J Infect Microb Antimicrob

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Trichinosis is caused most commonly by the nematode Trichinella spiralis. In this paper we report a case of gluteal abscess that developed after a man ingested undercooked wild boar meat. The biopsy revealed a small calcified cyst encircling a coiled threadlike worm. The diagnosis was trichinosis superimposed by pyogenic bacterial infection. As gram-positive cocci were seen, empirical treatment with amoxicillin and clavulanic acid was given for two weeks. The man was given albendazole at 400 mg twice daily for 14 days to eliminate infection from the intestine. The gluteal abscess healed uneventfully after two weeks. To the best of our knowledge, trichinosis superimposed with pyogenic bacterial infection is rarely reported in the literature.

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“…In Turkey, rare cases of trichinosis caused by T. spiralis were determined in domestic and wild pigs and in pork products (374). Later, several outbreaks of trichinellosis in humans have been reported from the Izmir province in the Aegean region (375)(376)(377) and from the Bursa province in the Marmara region (378). In recent years, the dramatic decrease in numbers of ruminants, particularly cattle and sheep population in Turkey, may be a predisposing factor for the outbreaks of trichinellosis, epidemiologically.…”

Section: Trichinellosis (Trichinosis)mentioning

confidence: 99%

Overview of Zoonotic Diseases in Turkey: The One Health Concept and Future Threats

İncı¹,

Doğanay²,

Özdarendeli³

et al. 2018

TurkiyeParazitolDerg

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Zoonotic infections are globally important diseases and lead to huge economic losses in both low-and middle-income and high-income countries. Global warming, environmental and ecological changes, illegal movement of animals and humans, regional civil wars, and poverty are predisposing factors for the emergence of zoonotic infections and their distribution worldwide; they are also a big threat for the future. In addition, environmental pollution and antimicrobial resistance are immense serious threats and dangers to prevent and control zoonotic infections. The natural location of Turkey allows many emerged or re-emerged infections with zoonotic characteristics by animal movements, such as bird immigrations, and by human movements due to civil wars as seen with regional refugees. Numerous zoonotic diseases, including 37 bacterial, 13 fungal, 29 viral, 28 parasitic (3 trematodes, 7 cestodes, 10 nematodes, and 8 protozoan), and totally 107 infections, have been reported from Turkey to date. Additionally, many ectoparasitic zoonoses within 15 different arthropod groups and one leech infestation have been reported from Turkey to date. The "One Health" initiative is particularly relevant for developing strategies to combat zoonotic diseases. In this article, we review the occurrence of zoonotic diseases in man and animals in Turkey in the light of the "One Health" perspective.

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A trichinosis outbreak caused by wild boar meat in Turkey

Cited by 11 publications

References 2 publications

A Large‐Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkey

A Large‐Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkey

Incidental Finding of Trichinella in a Patient with Gluteal Abscess: A Case Report

Overview of Zoonotic Diseases in Turkey: The One Health Concept and Future Threats

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