Volume 26, Number 8—August 2020
Research
Human Outbreak of Trichinellosis Caused by Trichinella papuae Nematodes, Central Kampong Thom Province, Cambodia
Table
Characteristics for 25 patients during a human outbreak of trichinellosis caused by Trichinella papuae nematodes, Cambodia*
Pt no. | Age, y/sex | Clinical signs or symptoms | Length of hospital stay, d | Leu† | Eos† | Neu† | CPK† | LDH† | AST† | Biopsy result | IgM/IgG | PCR/PCR/Seq‡ |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 26/M | Mu, As, Oe, Dy | 12 | 23 | 3 | 21 | 1,210 | 433 | 97 | + | ND | –/+/ND |
2 | 31/M | Mu, Fe, Hd, Oe, Dy | 9 | 23 | 4 | 18 | 1,216 | 577 | 310 | + | ND | –/+/ND |
3 | 20/M | Mu, Fe, Cg, Dy | 19 | 28 | 2 | 23 | 784 | 1,890 | 89 | + | ND | +/+/+ |
4 | 34/M | Mu, As, Oe, Dy | 14 | 21 | 2 | 19 | 1,499 | 469 | 59 | + | ND | +/+/+ |
5 | 25/M | Mu, As | 4 | 9 | 2 | 4 | 809 | 589 | 74 | + | ND | +/+/+ |
6 | 26/M | Mu, Fe, Oe | 14 | 20 | 2 | 19 | 340 | 584 | 51 | + | ND | +/+/+ |
7 | 35/M | Mu, Hd, Gi, As, Oe | 10 | 29 | 3 | 22 | 1,265 | 2,300 | 104 | + | ND | −/−/ND |
8 | 43/M | Mu, Fe, As, Oe | 12 | 15 | 3 | 12 | 1,007 | 1,940 | 70 | + | ND | –/+/ND |
9 | 50/M | Mu, Oe | 7 | 13 | 1 | 10 | 1,263 | 830 | 87 | + | ND | –/+/ND |
10 | 27/M | Mu, As, Oe | 13 | 13 | 3 | 10 | 862 | 592 | 86 | + | ND | –/+/ND |
11 | 35//M | Mu, As, Oe | 13 | 23 | 3 | 19 | 1,367 | 2,030 | 115 | + | ND | -/+/ND |
12 | 40/M | Mu, Fe, As, Oe, Cg, Dy | 15 | 18 | 2 | 16 | 1,091 | 536 | 127 | + | ND | –/+/ND |
13 | 28/F | Mu, Fe, Gi, As, Oe, Dy, Cg | 18 | 36 | 2 | 35 | 827 | 2,540 | 117 | + | ND | –/+/+ |
14 | 46/M | Mu, Fe, Gi | 17 | 22 | 3 | 20 | 1,521 | 248 | 100 | ND | –/+ | ND |
15 | 22/M | Mu, Fe, Hd, As, Gi, Cg | 8 | 16 | 1 | 11 | 110 | 137 | 30 | ND | −/− | ND |
16 | 40/M | Mu, Fe, Gi, As, Oe | 18 | 18 | 10 | 12 | 1340 | 342 | 73 | ND | ND | ND |
17 | 42/M | Mu, Fe, Gi, As | 16 | 25 | 5 | 20 | 260 | 162 | 44 | ND | –/+ | ND |
18 | 36/M | Mu, Fe, Hd, As, Dy | 16 | 17 | 2 | 12 | 899 | ND | 281 | ND | –/+ | ND |
19 | 42/M | Mu, Fe, As | 16 | 24 | 2 | 17 | 796 | ND | 161 | ND | +/+ | ND |
20 | 26/M | Mu, Fe, As | 16 | 21 | 8 | 17 | 340 | ND | 70 | ND | +/+ | ND |
21 | 26/M | Mu, Hd, As Oe | 25 | 18 | 1 | 16 | 1,073 | 291 | 94 | ND | +/+ | ND |
22 | 34/M | Mu, Fe, As, Dy | 25 | 21 | 4 | 20 | 622 | 303 | 89 | ND | +/+ | ND |
23 | 41/M | Mu, Fe, Hd, Gi, As | 15 | 16 | 1 | 13 | 866 | 246 | 170 | ND | +/+ | ND |
24 | 42/M | Mu, Fe, Hd, Gi, As, Dy | 15 | 18 | 1 | 15 | 524 | ND | 113 | ND | –/+ | ND |
25 | 45/M | Mu, Fe, Hd, Gi | 7 | 11 | 2 | 15 | 320 | ND | 154 | ND | –/+ | ND |
*As, asthenia; AST, aspartate aminotransferase (reference range <37 U/L); Cg, cough; CPK, creatine phosphokinase (reference range 15–130 U/L); Dy, dyspnea; Eos, eosinophils (reference range 0.2–0.7 × 109 cells/L); Fe, fever; Gi, abdominal pain, diarrhea, and nausea; Hd, headache; Leu, leukocytes (reference range 4–9 × 109 cells/L); LDH, lactate dehydrogenase (reference range 225–450 U/L); Mu, muscle pain and swelling; ND, not determined; Neu, neutrophils; Oe, facial or periorbital edema; Pt, patient; Seq, sequencing; –, negative; +, positive.
†Values are the highest readings obtained during hospitalization.
‡Positive conventional PCR for Trichinella rDNA intergenic spacer region/multiplex PCR for Trichinella spp./sequencing.