is worldwide but cases are common in Europe, U.S and Northern Thailand.
Cysts with larvae are present in under-cooked meat usually pork.
The stomach acids release the larvae from the cyst and they then
mature into mature worms in the intestine. New larvae are released
in the blood and form cysts in the muscles.
Cysts are killed by cooking all parts >65°C, freezing to
-27°C for 36 hours or microwaving. Pricking, smoking, or salting
does not affect them.
Most people are asymptomatic.
pain and vomiting may happen within 72 hours.
Larvae are released into the circulation between 2-8 weeks later.
include fever with chills, conjunctivitis, eye swelling, itchy rash,
and shortness of breath, chest pain, diarrhea, muscle pains, muscle
spasm, and photophobia.
can resolve but muscle pains can last for weeks.
Diagnosis is either made with a blood test or muscle biopsy. Bed
rest and antihistamines help. If severe symptoms involving the heart
or brain then high dose corticosteroids are used.
against the worms is best in the first few weeks to prevent them
from multiplying and producing migrating larvae.
for Disease Control