Causative agent
- Trichinella spiralis
1. History taking
- Human infections from consumption of
infected undercooked pork especially Nhaem
(Thai fermented pork sausage), sausage
- Animals with the history of eating rodents or
garbage containing raw meat
2. Clinical examination
- No signs
3. Necropsy
- Encysted larvae in the diaphragm, tongue,
masseter and intercostal muscles
4. Microscopic examination
Compression method
- Compress the muscle between glass slides
and examine for larvae under microscope or
Trichinoscope
Digestion method
- Digest the muscle with digestive enzyme
(1% pepsin or 0.5-1 % trypsin)
- Examine the sediment for larvae under
microscope
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5. Histopathological observation
- Detection of larvae encysted in striated
muscle
- Calcification
- Inflammation of muscle
6. Serological test
- ELISA
Control and treatment
- Meat inspection for viable trichinae at the
time of slaughter
- Rodent control and cooking of garbage
- Prevention of access to wildlife carcasses
- Cooking pork by boiling for 30 minutes or
freezing pork at -35°C for 24 hours
- Consumer education
- Treatment by thiabendazole 0.3% in feed for
1 week
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