Outbreak of trichinellosis in the Midi-Pyrénées region of France January - March 1998

Haeghebaert, S.; Servat, Marcos Eduardo; Duchen, C; Minet, J C; EAgrech, A; Thièse, I; Leclerc, Catherine; Vaillant, V.; Hemery, C; Maillot, E; Soulé, C.; Pozio, Edoardo; Massip, Pierre; Magnaval, Jean-François; Desenclos, J C

doi:10.2807/esm.03.08.00118-en

Cited by 6 publications

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“…As urogenital schistosomiasis has emerged as an autochthonous disease in Western Europe [ 46 ], its specific serodiagnosis has been added in 2014 to this panel. Trichinellosis was checked if relevant risk factors were prevalent, e.g., using wild boar or horse meat or traveling outside the EU, as this zoonosis can present as an asymptomatic chronic eosinophilia, as observed in two outbreaks that occurred in 1998 in the Toulouse area [ 49 ]. For immigrants or travelers, we added an immunodiagnostic for filariases, including an ELISA for circulating Og4C3 antigens, which is a test that has dramatically improved the diagnosis of bancroftiasis [ 50 ] (Table 3 ).…”

Section: Methodsmentioning

confidence: 99%

A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

et al. 2017

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BackgroundBlood eosinophilia is a common laboratory abnormality, and its characterization frequently represents a quandary for primary care physicians. Consequently, in France, specialists and particularly hematologists, often must investigate patients who present with blood eosinophilia that often, but not always, occurs because of allergic causes. Both the Departments of Hematology and Parasitology at Toulouse University Hospitals established a collaboration to rule out allergic causes of eosinophilia, particularly helminthiases, prior to initiating more sophisticated investigations.MethodsSince 2004, the authors employed the same protocol to investigate eosinophilic outpatients who attended the clinic of Parasitology at Toulouse University Hospitals, and they reported the performance of this diagnostic procedure that was designed to be rapid (no hospitalization required) and only moderately expensive.ResultsA total of 406 patients who presented with blood eosinophilia greater than 0.5 (×109, giga cells per litter, G/L) had an allergic etiology in 350 (86.2%) cases. Among the remaining 56 subjects, 17 did not undergo a follow-up and 39 were referred to another specialized department, mostly Hematology. However, only 21 patients attended then were subsequently investigated. Non-allergic causes of eosinophilia, including 3 cases of the lymphoid variant of hypereosinophilic syndrome and 2 cases of myeloproliferative disorder, were identified in 14 patients, whereas 7 remained diagnosed as having idiopathic eosinophilia.ConclusionThis study underlines the need to investigate patients presenting with even moderate blood eosinophilia. The work-up that was employed appears to be efficient and versatile and may be used by any medical specialist, such as in hematology, infectious disease, or internal medicine departments, who needs to investigate eosinophilic patients and should initially rule out any etiology of allergic eosinophilia.

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Section: Methodsmentioning

confidence: 99%

A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

et al. 2017

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Meat sources of infection for outbreaks of human trichinellosis

et al. 2017

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Trichinellosis is one of the most important foodborne zoonotic diseases, with worldwide distribution. While human risk for trichinellosis has historically been linked to pork, modern pork production systems and slaughter inspection programs have reduced or eliminated pork as a source for trichinellosis in many countries. While pork may no longer pose a significant risk for trichinellosis, many other animal species may be hosts for Trichinella species nematodes and when human consume meat from these animal species, there may be risk for acquiring trichinellosis. This review article describes the various non-pork meat sources of human trichinellosis outbreaks, where these outbreaks have occurred and some of the factors that contribute to human risk. The literature reviewed here provides evidence of the persistence of Trichinella as a human health risk for people who eat meat from feral and wild carnivores and scavengers, as well as some herbivores that have been shown to harbor Trichinella larvae. It points to the importance of education of hunters and consumers of these meats and meat products.

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Trichinella spp. imported with live animals and meat

Pozio

2015

Veterinary Parasitology

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Outbreak of trichinellosis in the Midi-Pyrénées region of France January - March 1998

Abstract: Two outbreaks of trichinellosis in the Tarn et Garonne, département, France were reported by the departmental health autorities on 2 March 1998, to the Réseau National de Santé Publique (RNSP). An epidemiological investigation began on 3 March in order to.

Cited by 6 publications

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A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

Meat sources of infection for outbreaks of human trichinellosis

Trichinella spp. imported with live animals and meat

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