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1.
Parasitol Res ; 119(7): 2059-2065, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32447516

ABSTRACT

Lice from family Echinophthiriidae are of the few insects that have successfully colonized marine environment living as ectoparasites of pinnipeds, i.e., sea lions, seals, and the walrus. They have developed unique adaptations to cope with the amphibious lifestyle of their hosts. Because eggs do not survive underwater, lice could only reproduce when their host remains on pack ice enough time. Consequently, lice generations per year are limited by host haul-out behavior. The objective of this work is to study the effect of host sex and age class, and the annual variation on the prevalence and mean abundance of Antarctophthirus lobodontis in crabeater seals from the Antarctic Peninsula. During three consecutive field-seasons, we collected lice from 41 crabeater seals (23 females, 16 males, 2 indeterminate, being 24 adults, and 17 juveniles). We investigated this effect on the prevalence and mean abundance by a generalized linear model formulation in a Bayesian framework. According to the lowest Deviance Index Criterion model, sex host does not affect prevalence nor mean abundance. We found that juveniles present greater abundance and prevalence than adults, possibly due to foraging habits. They spent more time on the ice than adults in groups of dozens of animals. This behavior would favor both egg development and lice transmission. We do not find adult females with lice, which suggests that transmission of A. lobodontis should be horizontal. The high mean abundance of lice in 2014 could be associated with an unusual increase in Lobodon carcinophaga population, probably related to the pack-ice availability and zooplankton abundance.


Subject(s)
Anoplura/pathogenicity , Lice Infestations/epidemiology , Lice Infestations/transmission , Sea Lions/parasitology , Seals, Earless/parasitology , Walruses/parasitology , Acclimatization , Animals , Antarctic Regions , Bayes Theorem , Female , Ice Cover , Male , Seasons , Sex Factors
2.
Can J Public Health ; 111(1): 31-39, 2020 02.
Article in English | MEDLINE | ID: mdl-31637676

ABSTRACT

SETTING: Consumption of raw game meats is important for Inuit health and well-being but may sometimes increase risk of exposure to parasites. In Nunavik, following trichinellosis outbreaks in the 1980s caused by raw walrus consumption, a diagnostic test was developed for the region and offered to all Inuit communities by 1997. Despite this prevention program, an important trichinellosis outbreak occurred in 2013, affecting 18 inhabitants of Inukjuak. INTERVENTION: Because the classical outbreak investigation did not rapidly converge toward a common food source or specific event, a local response group, composed of four community members appointed by the Municipal Council as well as the regional public health physician, nurse and wildlife parasitologist, was created. Their objective was to investigate potential sources of infection related to the outbreak, hence the investigation of the types of meats consumed, the movement of meats between and within the community, and the local practices of processing game meat. OUTCOMES: Though the source of infection was not fully confirmed, this local investigation identified the distribution of transformed polar bear meat as the most probable source of infection. The creation of this unique, intersectoral and intercultural local response group fostered the use of local knowledge to better understand aspects of the modern food system, and is one of the most innovative outcomes of this investigation. IMPLICATIONS: Integrating multiple ways of knowing was critical for the management of this important public health issue and contributed to community members' mobilization and empowerment with respect to local food safety issues.


Subject(s)
Community Networks , Disease Outbreaks/prevention & control , Trichinellosis/epidemiology , Walruses/parasitology , Animals , Humans , Incidence , Medical Audit , Quebec/epidemiology , Trichinellosis/diagnosis
3.
Parasit Vectors ; 12(1): 155, 2019 Apr 03.
Article in English | MEDLINE | ID: mdl-30944016

ABSTRACT

BACKGROUND: Toxoplasma gondii, a zoonotic protozoan parasite, infects mammals and birds worldwide. Infection in humans is often asymptomatic, though illnesses can occur in immunocompromised hosts and the fetuses of susceptible women infected during pregnancy. In Nunavik, Canada, 60% of the Inuit population has measurable antibodies against T. gondii. Handling and consumption of wildlife have been identified as risk factors for exposure. Serological evidence of exposure has been reported for wildlife in Nunavik; however, T. gondii has not been detected in wildlife tissues commonly consumed by Inuit. METHODS: We used a magnetic capture DNA extraction and real-time PCR protocol to extract and amplify T. gondii DNA from large quantities of tissues (up to 100 g) of 441 individual animals in Nunavik: 166 ptarmigan (Lagopus lagopus), 156 geese (Branta canadensis and Chen caerulescens), 61 ringed seals (Pusa hispida), 31 caribou (Rangifer tarandus) and 27 walruses (Odobenus rosmarus). RESULTS: DNA from T. gondii was detected in 9% (95% CI: 3-15%) of geese from four communities in western and southern Nunavik, but DNA was not detected in other wildlife species including 20% (95% CI: 12-31%) of ringed seals and 26% (95% CI: 14-43%) of caribou positive on a commercial modified agglutination test (MAT) using thawed heart muscle juice. In geese, tissue parasite burden was highest in heart, followed by brain, breast muscle, liver and gizzard. Serological results did not correlate well with tissue infection status for any wildlife species. CONCLUSIONS: To our knowledge, this is the first report on the detection, quantification, and characterization of DNA of T. gondii (clonal lineage II in one goose) from wildlife harvested for food in Nunavik, which supports the hypothesis that migratory geese can carry T. gondii into Nunavik where feline definitive hosts are rare. This study suggests that direct detection methods may be useful for detection of T. gondii in wildlife harvested for human consumption and provides data needed for a quantitative exposure assessment that will determine the risk of T. gondii exposure for Inuit who harvest and consume geese in Nunavik.


Subject(s)
Animals, Wild/parasitology , Food Parasitology , Toxoplasma/isolation & purification , Animals , Canada , Cross-Sectional Studies , DNA, Protozoan , Female , Galliformes/parasitology , Geese/parasitology , Male , Molecular Typing , Real-Time Polymerase Chain Reaction , Reindeer/parasitology , Seals, Earless/parasitology , Serotyping , Toxoplasma/classification , Walruses/parasitology
4.
Parasitol Res ; 117(12): 4033-4036, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30334078

ABSTRACT

Trichinella spp. from a sylvatic cycle has been found in several animal species such as pumas (Puma concolor), armadillos (Chaetophractus villosus), rats (Rattus norvegicus), and wild boars (Sus scrofa) in Argentina. Moreover, Trichinella infection has been detected in a wide range of marine mammals around the world, including polar bears (Ursus maritimus) and walruses (Odobenus rosmarus). Until the present time, Trichinella spp. infection has not been detected in marine mammals of South America. Samples from four South American sea lions (Otaria flavescens) found dead in Rio Negro, Argentina, were analyzed by artificial digestion, and in the case of one animal, Trichinella larvae were identified at the species level by nested multiplex PCR as Trichinella spiralis. This is the first report of a Trichinella species infecting marine mammals from South America.


Subject(s)
Muscle, Skeletal/parasitology , Sea Lions/parasitology , Trichinella spiralis/isolation & purification , Trichinellosis/veterinary , Animals , Argentina , Larva , Puma/parasitology , Rats , South America , Sus scrofa/parasitology , Swine , Trichinellosis/parasitology , Ursidae/parasitology , Walruses/parasitology
5.
J Zoo Wildl Med ; 48(4): 1219-1222, 2017 12.
Article in English | MEDLINE | ID: mdl-29297810

ABSTRACT

A 21-yr-old intact male walrus ( Odobendus rosmarus divergens) presented with acute onset of shifting lameness, initially associated with breeding behaviors. Further clinical signs manifested, including muscle tremors, anorexia, hematuria, and coughing. Diagnostics were limited, as the animal would not offer behaviors for voluntary sample collection. Signs were addressed with anti-inflammatories, anticonvulsants, and antibiotics. The walrus developed cluster seizures and ultimately, respiratory and cardiac arrest. Postmortem lesions included meningoencephalitis with intra- and extracellular protozoal zoites and schizonts, as well as interstitial pneumonia with intraendothelial protozoa. Immunolabeling of the protozoal organisms revealed Sarcocystis neurona. Previous S. neurona infections in an odobenid have not been reported. Protozoal infection should be considered in all species of captive marine mammals with nonspecific orthopedic, neurological, and respiratory clinical signs.


Subject(s)
Sarcocystis/isolation & purification , Sarcocystosis/veterinary , Walruses/parasitology , Animals , Fatal Outcome , Male , Sarcocystosis/parasitology , Sarcocystosis/pathology
6.
Med Parazitol (Mosk) ; (3): 17-9, 2014.
Article in Russian | MEDLINE | ID: mdl-25286544

ABSTRACT

Statistical methods confirmed that the dietary intake of traditionally made meat from marine mammals and polar bear could cause Trichinella infection in the residents of the communities of the Chukotka Peninsula.


Subject(s)
Antigens, Helminth/analysis , Meat Products/parasitology , Trichinella/physiology , Trichinellosis/ethnology , Trichinellosis/transmission , Animals , Humans , Meat Products/analysis , Population Groups , Seals, Earless/parasitology , Siberia/epidemiology , Statistics, Nonparametric , Trichinellosis/diagnosis , Trichinellosis/parasitology , Ursidae/parasitology , Walruses/parasitology
7.
Med Parazitol (Mosk) ; (3): 7-11, 2013.
Article in Russian | MEDLINE | ID: mdl-25924274

ABSTRACT

Epizootological surveys on the Arctic coasts of the Russian Federation revealed 8 terrestrial andmarine mammal species that were Trichinella carriers. The infection rate varied with the animal species from 1.6 to 92.8%. Analysis of the taxonomic affiliation of Trichinella isolated from the muscles of the terrestrial and marine mammals indicated that the Trichinella species T. nativa was widespread in the arctic areas of the Russian Federation. Analysis of sequences in the Cob gene of mtDNA revealed nucleotide differences between several isolates of this species.


Subject(s)
DNA, Mitochondrial/genetics , Electron Transport Complex IV/genetics , Trichinella/genetics , Trichinellosis/epidemiology , Trichinellosis/veterinary , Animals , Arctic Regions , Base Sequence , Cetacea/parasitology , Dogs/parasitology , Foxes/parasitology , Larva/classification , Larva/genetics , Molecular Sequence Data , Seals, Earless/parasitology , Sequence Alignment , Siberia/epidemiology , Swine/parasitology , Trichinella/classification , Trichinella/isolation & purification , Trichinellosis/parasitology , Ursidae/parasitology , Walruses/parasitology
8.
Int J Circumpolar Health ; 71: 18595, 2012 Jul 10.
Article in English | MEDLINE | ID: mdl-22789519

ABSTRACT

OBJECTIVES: During the 1980s, walrus-meat consumption caused infections with the parasite Trichinella nativa in Nunavik inhabitants. In response to these events, stakeholders set up the community-based Nunavik Trichinellosis Prevention Program (NTPP). The objectives of the present communication are to review the NTPP, describe how science and action were interwoven in its development and identify its assets and limitations. Study design. Descriptive study. METHODS: The NTPP relies on a pooled digestion assay of tongue samples taken from each harvested walrus. The public health recommendations depend on the results of the analyses: infected walrus meat should be destroyed; parasite-free meat may be eaten raw or cooked. RESULTS: All communities involved in the walrus hunt participate in the NTPP and a high percentage of harvested walruses are included in the NTPP. Infected animals account for 2.9% of the walruses tested (20/694) since 1992. The NTPP permitted the early management of a trichinellosis event in 1997. Since then, it prevented the new occurrence of outbreaks related to walruses hunted by Nunavimmiut. CONCLUSIONS: The absence of recent major outbreaks of trichinellosis in Nunavik may reasonably be attributed to the NTPP. The success of the program stands on many facilitating factors such as the nature of the disease and its source, the existence of an efficient analytic method, the strong involvement of the different partners including direct resource users, as well as the comprehensive bidirectional science-to-action approach that has been followed.


Subject(s)
Health Promotion , Trichinellosis/epidemiology , Trichinellosis/prevention & control , Animals , Arctic Regions/epidemiology , Disease Outbreaks/prevention & control , Humans , Population Surveillance , Quebec , Trichinellosis/diagnosis , Trichinellosis/etiology , Walruses/parasitology
10.
J Parasitol ; 95(1): 82-5, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19245284

ABSTRACT

Toxoplasma gondii infection in marine mammals is intriguing and indicative of contamination of the ocean environment and coastal waters with oocysts. Toxoplasma gondii infection was detected in captive marine mammals at a sea aquarium in Canada. Antibodies to T. gondii were found in all 7 bottlenose dolphins (Tursiops truncatus) tested. Two of these dolphins, as well as a walrus (Odobenus rosmarus) at the facility, died. Encephalitis and T. gondii tissue cysts were identified in histological sections of the brain of 1 dolphin (dolphin no. 1). Another dolphin (dolphin no. 2) had mild focal encephalitis without visible organisms, but viable T. gondii was isolated by bioassay in mice and cats from its brain and skeletal muscle; this strain was designated TgDoCA1. The PCR-RFLP typing using 11 markers (B1, SAG1, SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1, and Apico) identified a Type II strain. The DNA sequencing of B1 and SAG1 alleles amplified from TgDoCA1 and directly from the brains of dolphin no. 1 and the walrus showed archetypal alleles consistent with infection by a Type II strain. No unique polymorphisms were detected. This is apparently the first report of isolation of T. gondii from a marine mammal in Canada.


Subject(s)
Bottle-Nosed Dolphin/parasitology , Toxoplasmosis, Animal/epidemiology , Toxoplasmosis, Cerebral/veterinary , Walruses/parasitology , Animals , Animals, Zoo , Antibodies, Protozoan/blood , Biological Assay/veterinary , Brain/parasitology , Brain/pathology , Canada/epidemiology , Cats , DNA, Protozoan/analysis , DNA, Protozoan/chemistry , Female , Immunohistochemistry/veterinary , Male , Mice , Polymerase Chain Reaction/veterinary , Polymorphism, Restriction Fragment Length , Toxoplasma/classification , Toxoplasma/genetics , Toxoplasma/immunology , Toxoplasma/isolation & purification , Toxoplasmosis, Animal/diagnosis , Toxoplasmosis, Animal/parasitology , Toxoplasmosis, Cerebral/diagnosis , Toxoplasmosis, Cerebral/epidemiology , Toxoplasmosis, Cerebral/parasitology
11.
Vet Parasitol ; 150(1-2): 6-12, 2007 Nov 30.
Article in English | MEDLINE | ID: mdl-17950534

ABSTRACT

Samples (blood or tissue fluid) from 594 arctic foxes (Alopex lagopus), 390 Svalbard reindeer (Rangifer tarandus platyrhynchus), 361 sibling voles (Microtus rossiaemeridionalis), 17 walruses (Odobenus rosmarus), 149 barnacle geese (Branta leucopsis), 58 kittiwakes (Rissa tridactyla), and 27 glaucous gulls (Larus hyperboreus) from Svalbard and nearby waters were assayed for antibodies against Toxoplasma gondii using a direct agglutination test. The proportion of seropositive animals was 43% in arctic foxes, 7% in barnacle geese, and 6% (1 of 17) in walruses. There were no seropositive Svalbard reindeer, sibling voles, glaucous gulls, or kittiwakes. The prevalence in the arctic fox was relatively high compared to previous reports from canid populations. There are no wild felids in Svalbard and domestic cats are prohibited, and the absence of antibodies against T. gondii among the herbivorous Svalbard reindeer and voles indicates that transmission of the parasite by oocysts is not likely to be an important mechanism in the Svalbard ecosystem. Our results suggest that migratory birds, such as the barnacle goose, may be the most important vectors bringing the parasite to Svalbard. In addition to transmission through infected prey and carrion, the age-seroprevalence profile in the fox population suggests that their infection levels are enhanced by vertical transmission.


Subject(s)
Foxes/parasitology , Toxoplasma/isolation & purification , Toxoplasmosis, Animal/epidemiology , Toxoplasmosis, Animal/parasitology , Animals , Arctic Regions , Arvicolinae/parasitology , Birds/parasitology , Female , Male , Reindeer/parasitology , Seroepidemiologic Studies , Svalbard/epidemiology , Toxoplasmosis, Animal/diagnosis , Walruses/parasitology
12.
J Parasitol ; 93(5): 1247-51, 2007 Oct.
Article in English | MEDLINE | ID: mdl-18163371

ABSTRACT

The decreasing extent of sea-ice in the arctic basin as a consequence of climatic warming is modifying the behavior and diets of pagophilic pinnipeds, including the Pacific walrus, Odobenus rosmarus divergens Illiger, the species emphasized here. Mammals such as the walrus and bearded seal, Erignathus barbatus (Erxleben), cannot remain associated with the sea-ice, and continue to feed on their usual diet of benthic invertebrates inhabiting coastal waters to a depth of approximately 100 m, when the northwestward retreating ice reaches deep waters beyond the margins of the continental shelf. With reduction of their customary substrate (ice), the walrus has become more pelagic and preys more often on ringed seals, Phoca hispida Schreber. Dietary changes, with modifications of helminth faunas, may be induced by various factors. Increased consumption of mammals or their remains by walruses may lead to a higher prevalence of trichinellosis in them and to more frequent occurrence in indigenous peoples inhabiting the arctic coasts. To assess predicted effects on the composition of helminth fauna of the walrus, we recommend systematic surveys of their helminths as part of research on effects of climatic warming.


Subject(s)
Greenhouse Effect , Helminthiasis, Animal/parasitology , Helminths/classification , Walruses/parasitology , Animals , Environmental Monitoring , Helminths/isolation & purification , Walruses/growth & development
13.
Vet Parasitol ; 132(1-2): 131-6, 2005 Sep 05.
Article in English | MEDLINE | ID: mdl-16023294

ABSTRACT

The Inuit population of the Arctic has always been at risk of acquiring trichinellosis and severe outbreaks have been recorded in Alaska and Canada. In West Greenland, a number of large outbreaks took place during the 1940s and 1950s; they involved total 420 cases including 37 deaths. Since then only sporadic cases have been reported. Here, we describe an outbreak of infection with Trichinella spp. after consumption of infected meat presumably from walrus or polar bear caught in western Greenland. Six persons who had eaten of the walrus and polar bear meat were two males and four females, age range 6--47 years. Using ELISA and Western blot analysis (Trichinella-specific IgG antibodies against excreted/secreted antigen and synthetic tyvelose antigen, respectively) four of these persons were found to be sero-positive for Trichinella antibodies, with three of these having clinical symptoms compatible with trichinellosis. On re-test, 12--14 months later one of the two sero-negative persons had sero-converted, probably due to a new, unrelated infection. This study demonstrates that acquiring Trichinella from the consumption of marine mammals remains a possibility in Greenland, and that cases may go undetected. Trichinellosis in Greenland can be prevented by the implementation of public health measures.


Subject(s)
Disease Outbreaks , Food Parasitology , Trichinella , Trichinellosis/epidemiology , Walruses/parasitology , Adult , Animals , Antibodies, Helminth/blood , Antigens, Helminth/chemistry , Blotting, Western , Child , Enzyme-Linked Immunosorbent Assay , Eosinophilia/immunology , Female , Greenland/epidemiology , Helminth Proteins/chemistry , Hexoses/chemistry , Humans , Male , Meat/parasitology , Middle Aged , Trichinellosis/diagnosis , Trichinellosis/parasitology
14.
Parasitol Res ; 93(6): 507-9, 2004 Aug.
Article in English | MEDLINE | ID: mdl-15278445

ABSTRACT

This study evaluated the infectivity of Trichinella nativa in freshly frozen walrus meat and traditionally aged walrus meat (igunaq) associated with two human outbreaks of trichinellosis in the Canadian Arctic. Trichinella larvae recovered from walrus meat stored at -20 degrees C for up to 20 months remained infective for guinea pigs inoculated with 135 or 716 larval doses. However, none of the 4-5 and 10-month-old igunaq preparations contained infective T. nativa larvae as measured by bioassays using mice and guinea pigs at inoculation doses ranging from 6 to 500 larvae. This indicates that the degradation process that occurred in the field can be sufficient to either kill Trichinella larvae or render them non-infective for mice and guinea pigs. Further research is needed to evaluate the food safety risk of traditional walrus igunaq aged under different field conditions and storage times.


Subject(s)
Meat/parasitology , Trichinella/isolation & purification , Trichinella/pathogenicity , Walruses/parasitology , Animals , Arctic Regions/epidemiology , Disease Outbreaks , Humans , Larva/pathogenicity , Quebec/epidemiology , Trichinella/genetics , Trichinellosis/epidemiology
15.
J Vet Diagn Invest ; 15(2): 188-91, 2003 Mar.
Article in English | MEDLINE | ID: mdl-12661733

ABSTRACT

A digestion assay was validated for the detection of Trichinella larvae in walrus (Odobenus rosmarus) meat, and appropriate samples for testing were determined using tissues from infected walruses harvested for food. Examination of muscles from 3 walruses showed that the tongue consistently contained approximately 2-6 times more larvae than the pectoral and intercostal muscles. Comparison of numbers of larvae in the root, body, and apex of the tongue from 3 walruses failed to identify a predilection site within the tongue, but the apex was considered an optimal tissue because of the high larval density within the tongue and the ease of collection. All 31 spiked samples weighing 50 g each and containing between 0.1 and 0.4 larvae per gram (lpg) were correctly identified as infected, indicating that the sensitivity of this procedure is adequate for diagnostic use. A sample size of 10 g consistently detected larvae in 2 walrus tongues containing > or = 0.3 lpg (n = 40), and until additional data are available, sample sizes from individual walrus tongues should be a minimum of 10 g. This study provides the preliminary data that were used for the development of a food safety analytical protocol for the detection of Trichinella in walrus meat in arctic communities.


Subject(s)
Food Parasitology , Meat/parasitology , Trichinella/isolation & purification , Walruses/parasitology , Animals , Diaphragm/parasitology , Larva , Muscle, Skeletal/parasitology , Sample Size , Tongue/parasitology , Trichinellosis/diagnosis , Trichinellosis/veterinary
16.
Clin Infect Dis ; 34(11): 1508-14, 2002 Jun 01.
Article in English | MEDLINE | ID: mdl-12015698

ABSTRACT

Repeated outbreaks of trichinellosis caused by the consumption of Trichinella-infected walrus (Odobenus rosmarus) meat, which have sometimes led to serious morbidity, have stimulated Inuit communities in Nunavik (northern Quebec), Canada, to develop an innovative trichinellosis prevention program. The program involves preconsumption testing of meat samples from harvested walrus at a regional laboratory and the rapid dissemination of the results of such testing to communities. Local health authorities in Inukjuak conducted an epidemiological investigation after testing identified Trichinella-positive walrus meat in September 1997. This report describes the events that occurred before, during, and after the trichinellosis outbreak and also documents how the prevention program contributed to successful resolution of the outbreak.


Subject(s)
Disease Outbreaks , Inuit , Trichinella , Trichinellosis/prevention & control , Adult , Aged , Animals , Canada/epidemiology , Female , Humans , Male , Meat Products/parasitology , Middle Aged , Preventive Medicine , Trichinellosis/epidemiology , Trichinellosis/ethnology , Walruses/parasitology
18.
J Infect Dis ; 165(5): 908-12, 1992 May.
Article in English | MEDLINE | ID: mdl-1569342

ABSTRACT

A large outbreak of trichinosis acquired from walrus in Salluit in 1987 provided the immunologic and epidemiologic data from which two distinct clinical syndromes were identified. The first syndrome is the classic myopathic form with edema, fever, myalgia, and rash. The second is a persistent diarrheal illness with little edema or myalgia. The clinical presentations are paralleled by distinct differences in type and development of antibody response. The clinical and serologic profiles of the two syndromes support the hypothesis that the myopathic form represents a primary infection of Trichinella nativa, while the second represents a secondary infection in previously sensitized individuals.


Subject(s)
Antibodies, Helminth/blood , Trichinella/immunology , Trichinellosis/epidemiology , Walruses/parasitology , Adolescent , Adult , Animals , Arctic Regions , Child , Child, Preschool , Diarrhea/epidemiology , Diarrhea/etiology , Diarrhea/immunology , Female , Humans , Immunoglobulin G/blood , Infant , Male , Middle Aged , Muscular Diseases/epidemiology , Muscular Diseases/etiology , Muscular Diseases/immunology , Trichinellosis/etiology , Trichinellosis/immunology
19.
Gastroenterology ; 91(4): 938-46, 1986 Oct.
Article in English | MEDLINE | ID: mdl-3743971

ABSTRACT

We describe an outbreak of trichinosis after the consumption of raw walrus meat in 10 Inuit inhabitants of a northern community. During the presentation of the illness, diarrhea was found in all subjects and was the dominant symptom in 8 of the 10 cases. Myalgia (60%) and muscle weakness (50%) were much less prominent complaints. The diarrhea was characteristically prolonged, lasting up to 14 wk (average 5.8 wk), as opposed to comparatively short episodes of myalgia (average 5.4 days) and muscle weakness (average 4.5 days). Prolonged diarrhea with little or no muscle symptomatology in an epidemic form represents a previously unrecognized clinical presentation of trichinosis. It remains to be determined whether this new clinical presentation is related to variant biological behavior of arctic Trichinella, to previous exposure to the parasite, or to other factors.


Subject(s)
Caniformia/parasitology , Diarrhea/etiology , Disease Outbreaks/epidemiology , Inuit , Meat , Trichinellosis/complications , Walruses/parasitology , Adult , Animals , Arctic Regions , Female , Humans , Male , Middle Aged , Time Factors , Trichinellosis/epidemiology , Trichinellosis/transmission
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