A total 7 outbreaks of trichinellosis have occurred in Korea, mostly as a result of consumption of raw wild boar (Sus scrofa) meat. Since only 1 serological survey on wild boars had yet been performed in Korea, the present study aimed to estimate the prevalence of trichinellosis in wild boars and some species of rodents by artificial digestion and serological examinations in Yanggu-gun, Gangwon-do, the endemic area of trichinellosis. Both the wild boar and rodent muscle samples revealed no Trichinella larvae by direct examination and artificial digestion method. However, serological examinations revealed that 4 wild boar sera samples out of 118 (3.4%) were positive to Trichinella antigen. Although the recovery of Trichinella larvae ended in a failure, it is proved for the first time that the sylvatic cycle of Trichinella has been maintained in wild boars of Gangwon-do, Korea.
Animals ; Antibodies, Helminth/*blood ; Antigens, Helminth/blood ; Female ; Male ; Republic of Korea/epidemiology ; Seroepidemiologic Studies ; Sus scrofa ; Swine ; Swine Diseases/*blood/diagnosis/epidemiology/parasitology ; Trichinella/classification/genetics/immunology/*isolation & purification

Trichinellosis transmission to humans via the consumption of reptile meat is rare worldwide. In Korea, however, 2 such outbreaks, possibly via consumption of soft-shelled turtle meat, have occurred in 2 successive years. In 17 August 2014, 6 patients were admitted to Wonju Severance Christian Hospital complaining of myalgia, fever, and headache. Eosinophilia was the indication of the initial laboratory results, and they were eventually diagnosed as trichinellosis by ELISA. All of the patients worked at the same company and had eaten raw soft-shelled turtle meat at a company dinner 10 days prior to their admission. They were treated with albendazole for 2 weeks, upon which all of their symptoms disappeared. This is the 8th report on human trichinellosis in Korea, and the second implicating raw soft-shelled turtle meat.
Adult ; Animals ; Antibodies, Helminth/blood ; Disease Outbreaks ; Female ; Humans ; Male ; Meat/*parasitology ; Republic of Korea ; Trichinella/immunology/isolation & purification/physiology ; Trichinellosis/blood/diagnosis/*parasitology ; Turtles/*parasitology

Reptiles, unlike mammals, have been considered to be unsuitable hosts of Trichinella spp., though larvae have been detected in their muscles and human outbreaks related to their consumption have, in fact, occurred. Herein we report 2 Korean cases of trichinosis, possibly transmitted via consumption of reptile meat. Both patients suffered from myalgia, headache, and facial edema. Laboratory examinations revealed leukocytosis with eosinophilia (54% and 39%, respectively) and elevated creatinine phosphokinase. ELISA was performed under the suspicion of trichinosis, showing positivity at the 29th and 60th day post-infection. Since they had consumed raw soft-shelled turtle meat, turtle was strongly suggested to be an infection source of trichinosis in Korea next to the wild boar and badger.
Adult ; Animals ; Enzyme-Linked Immunosorbent Assay ; Foodborne Diseases/*diagnosis/parasitology/*pathology ; Humans ; Korea ; Male ; Meat ; Serologic Tests ; Trichinella/*isolation & purification ; Trichinellosis/*diagnosis/parasitology/*pathology ; Turtles

The 5th outbreak of trichinosis occurred in a mountainous area of North Vietnam in 2012, involving 24 patients among 27 people who consumed raw pork together. Six of these patients visited several hospitals in Hanoi for treatment. Similar clinical symptoms appeared in these patients within 5-8 days after eating infected raw pork, which consisted of fever, muscle pain, difficult moving, edema, difficult swallowing, and difficult breathing. ELISA revealed all (6/6) positive reactions against Trichinella spiralis antigen and all cases showed positive biopsy results for Trichinella sp. larvae in the muscle. The larvae detected in the patients were identified as T. spiralis (Vietnamese strain) by the molecular analysis of the mitochondrial cytochrome c oxidase subunit III (cox3) gene.
Adult ; Animals ; Antigens, Helminth/analysis/immunology ; *Disease Outbreaks ; Electron Transport Complex IV/genetics ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Larva ; Male ; Meat/*parasitology ; Mitochondria/genetics ; Muscles/parasitology/pathology ; Swine ; Trichinella spiralis/genetics/immunology/*isolation & purification ; Trichinellosis/*epidemiology/parasitology/pathology ; Vietnam/epidemiology

Trichinosis is a food-borne zoonotic disease caused by the nematode, Trichinella spp., and had been reported several times in Korea. Recently, there was an additional outbreak, involving 5 patients, the findings from which are reported herein. On 30 November 2010, 8 persons ate sashimi of the meat of a wild boar. Then, 2-3 weeks later, they complained of myalgia and fever. Unfortunately, muscle biopsy was not performed, but ELISA was performed using their sera. Two people among 8 were positive for Trichinella on the 34th day post-infection (PI), and 3 patients who initially revealed negative ELISA were additionally proved to be positive for trichinosis on the 42nd day PI. Hence, the confirmed patients of trichinosis were 5 in total in the present outbreak. They were treated with albendazole and discharged uneventfully. This was the fifth outbreak of trichinosis in Korea.
Adult ; Albendazole/therapeutic use ; Animals ; Anthelmintics/therapeutic use ; Antibodies, Helminth/blood ; Disease Outbreaks/*veterinary ; Enzyme-Linked Immunosorbent Assay ; Female ; Foodborne Diseases/drug therapy/*epidemiology/parasitology ; Humans ; Male ; Meat/*parasitology ; Middle Aged ; Republic of Korea/epidemiology ; Sus scrofa/parasitology ; Swine ; Swine Diseases/parasitology/transmission ; Treatment Outcome ; Trichinella/immunology/*isolation & purification ; Trichinellosis/diagnosis/drug therapy/*epidemiology ; Zoonoses

The first human case with trichinellosis was reported in 1964 in Tibet, China. However, up to the present, the etiological agent of trichinellosis has been unclear. The aim of this study was to identify a Tibet Trichinella isolate at a species level by PCR-based methods. Multiplex PCR revealed amplicon of the expected size (173 bp) for Trichinella spiralis in assays containing larval DNA from Tibet Trichinella isolate from a naturally infected pig. The Tibet Trichinella isolate was also identified by PCR amplification of the 5S ribosomal DNA intergenic spacer region (5S ISR) and mitochondrial large-subunit ribosomal RNA (mt-lsrDNA) gene sequences. The results showed that 2 DNA fragments (749 bp and 445 bp) of the Tibet Trichinella isolate were identical to that of the reference isolates of T. spiralis. The Tibet Trichinella isolate might be classifiable to T. spiralis. This is the first report on T. spiralis in southwestern China.
Animals ; DNA, Helminth/chemistry/genetics ; DNA, Mitochondrial/chemistry/genetics ; DNA, Ribosomal/chemistry/genetics ; DNA, Ribosomal Spacer/genetics ; Genotype ; Humans ; Multiplex Polymerase Chain Reaction ; RNA, Ribosomal, 5S/genetics ; Sequence Analysis, DNA ; Swine ; Swine Diseases/*parasitology ; Tibet ; Trichinella spiralis/*classification/genetics/isolation & purification ; Trichinellosis/parasitology/*veterinary

The clinical diagnosis of trichinellosis can be difficult due to lack of pathognomonic signs or symptoms. In Korea, since the first report of human infection by Trichinella spiralis in 1997 following the consumption of raw badger meat, there have been occasional trichinellosis outbreaks. We describe an outbreak of 12 cases of trichinellosis in Korea and implicate raw wild boar meat as the culprit. A total of 27 larvae of Trichinella (0.54 larvae per gram of meat) were recovered from the leftover raw wild boar meat.
Aged ; Albendazole/therapeutic use ; Animals ; Anthelmintics/therapeutic use ; *Disease Outbreaks ; Female ; Humans ; Larva ; Male ; Meat/*parasitology ; Middle Aged ; Republic of Korea/epidemiology ; Sus scrofa ; Trichinella spiralis/*isolation & purification ; Trichinellosis/diagnosis/drug therapy/*epidemiology/parasitology

In order to obtain greater insight into the relevant genomic expression patterns of Trichinella spiralis, 992 expressed sequence tags (ESTs) were collected from a cDNA library of T. spiralis muscle stage larvae and assembled into 60 clusters and 385 singletons. Of them, 445 (44.7%) ESTs were annotated to their homologous genes, and small fractions were matched to known genes of nematodes. The annotated ESTs were classified into 25 eukaryotic orthologous groups (KOG). Cytochrome C oxidase (34 clones) was found to be most frequent species.
Animals ; *Expressed Sequence Tags ; Gene Library ; Helminth Proteins/genetics ; Larva/*genetics ; Muscle, Skeletal/*parasitology ; Rats ; Trichinella spiralis/*genetics/isolation & purification ; Trichinosis/*parasitology

The application of Giemsa technique to stain compressed diaphragm samples obtained from rodents experimentally infected with Trichinella spiralis is described. Diaphragm samples from rats heavily infected with 20 muscle larvae per gram of body weight (20 ML/gbw) were cut into several pieces and stained with Giemsa; on the other hand, whole diaphragms from slightly infected mice (1 ML/gbw) were also stained with Giemsa. Besides, muscle samples were also stained with Giemsa. Observation at 10 x magnification revealed that both ML and nurse cells (NC) look as bluish structures clearly contrasting with the pinkish color of the non-infected muscle fibers. NC in the diaphragms of mice could be easily observed at naked eye as blue points contrasting with the pink surrounding areas formed by the non-infected muscle fibers. Among NC observed in the diaphragms of rats infected with 20 ML/gbw, 4.4% was multiple infection. These findings were confirmed in sectioned and hematoxylin-eosin stained specimens. This data could be usefulness for a rapid diagnosis of trichinellosis in post-mortem mammals without magnification procedures.
Animals ; Azure Stains/*chemistry ; Diaphragm/*parasitology ; Larva/ultrastructure ; Male ; Mice ; Rats ; Rats, Wistar ; Trichinella spiralis/*isolation & purification/ultrastructure ; Trichinosis/diagnosis/*parasitology

The application of Giemsa technique to stain compressed diaphragm samples obtained from rodents experimentally infected with Trichinella spiralis is described. Diaphragm samples from rats heavily infected with 20 muscle larvae per gram of body weight (20 ML/gbw) were cut into several pieces and stained with Giemsa; on the other hand, whole diaphragms from slightly infected mice (1 ML/gbw) were also stained with Giemsa. Besides, muscle samples were also stained with Giemsa. Observation at 10 x magnification revealed that both ML and nurse cells (NC) look as bluish structures clearly contrasting with the pinkish color of the non-infected muscle fibers. NC in the diaphragms of mice could be easily observed at naked eye as blue points contrasting with the pink surrounding areas formed by the non-infected muscle fibers. Among NC observed in the diaphragms of rats infected with 20 ML/gbw, 4.4% was multiple infection. These findings were confirmed in sectioned and hematoxylin-eosin stained specimens. This data could be usefulness for a rapid diagnosis of trichinellosis in post-mortem mammals without magnification procedures.
Animals ; Azure Stains/*chemistry ; Diaphragm/*parasitology ; Larva/ultrastructure ; Male ; Mice ; Rats ; Rats, Wistar ; Trichinella spiralis/*isolation & purification/ultrastructure ; Trichinosis/diagnosis/*parasitology