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Abstract

Trichinellosis is a rare parasitic zoonosis in the European Union. Meat from backyard pigs was the common source for a trichinellosis outbreak caused by , which occurred in France and Serbia in the beginning of 2017. An epidemiological study was conducted in France and Serbia to determine the extent of the outbreak, to identify its source and to implement control measures. Three cases were exposed in Serbia and brought back to France pork delicatessen which they shared with relatives and friends. Around 47 individuals were exposed to the parasitised meat in France and Serbia and 20 cases of trichinellosis were reported (nine in France and 11 in Serbia). Nine of them were female. The diagnosis was delayed, in part because the parasitosis was not known by most physicians, which led to complications in the French cases such as facial paralysis and pulmonary embolism. Health alerts and survey networks are indispensable at a European level to control the disease.

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/content/10.2807/1560-7917.ES.2020.25.24.1900527
2020-06-18
2024-11-04
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2020.25.24.1900527
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References

  1. Dupouy-Camet J, Bruschi F. Management and diagnosis of human trichinellosis. In: FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis. Dupouy-Camet J. Murrell K.D. (editors). Paris: World Organisation for Animal Health; 2007. pp 37-68.
  2. Council of the European Communities. Council Directive 92/45/EEC of 16 June 1992, on public health and animal health problems relating to the killing of wild game and the placing on the market of wild-game meat. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 14. 9. 92:L 268. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1426636760883&uri=CELEX:31992L0045
  3. European Commission. Commission implementing regulation (EU) 2015/1375 of 10 August 2015 laying down specific rules on official controls for Trichinella in meat. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 11.8.2015:L 212. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1448152892014&uri=CELEX:32015R1375
  4. Dupouy-Camet J. Trichinellosis: still a concern for Europe. Euro Surveill. 2006;11(1):590.  https://doi.org/10.2807/esm.11.01.00590-en  PMID: 16484733 
  5. European Centre for Disease Prevention and Control (ECDC). Trichinellosis - Annual epidemiological report for 2017. Stockholm: ECDC; 2019. Available from: https://ecdc.europa.eu/en/publications-data/trichinellosis-annual-epidemiological-report-2017
  6. Dupouy-Camet J. Travels and tourism are drivers for trichinellosis. Parasitol United J. 2014;7(2):86-92.  https://doi.org/10.4103/1687-7942.149555 
  7. French Reference Laboratory on Human Trichinellosis (FRLT). Cases of trichinellosis published or notified in France between 1975 and 2016. Paris FRLT; 2016. Available from: https://cnrdestrichinella.monsite-orange.fr/page3/index.html
  8. Cuperlovic K, Djordjevic M, Pavlovic S, Sofronic-Milosavljevic L. Present status of trichinellosis in Yugoslavia: Serbia. Parasite. 2001;8(2) Suppl;S95-7.  https://doi.org/10.1051/parasite/200108s2095  PMID: 11484397 
  9. Djordjevic M, Bacic M, Petricevic M, Cuperlovic K, Malakauskas A, Kapel CM, et al. Social, political, and economic factors responsible for the reemergence of trichinellosis in Serbia: a case study. J Parasitol. 2003;89(2):226-31.  https://doi.org/10.1645/0022-3395(2003)089[0226:SPAEFR]2.0.CO;2  PMID: 12760633 
  10. Nothdurft HD, Brommer M, Eichenlaub D, Löscher T. [A small outbreak of trichinosis caused by imported smoked ham]. Dtsch Med Wochenschr. 1995;120(6):173-6. German.  https://doi.org/10.1055/s-2008-1055330  PMID: 7851288 
  11. Lefort A, Lortholary O, Dupouy-Camet J, Rousset JJ, Guillevin L. Imported trichinellosis from former Yugoslavia. Clin Microbiol Infect. 1997;3(4):506-7.  https://doi.org/10.1111/j.1469-0691.1997.tb00295.x  PMID: 11864169 
  12. Milne LM, Bhagani S, Bannister BA, Laitner SM, Moore P, Eza D, et al. Trichinellosis acquired in the United Kingdom. Epidemiol Infect. 2001;127(2):359-63.  https://doi.org/10.1017/S0950268801005994  PMID: 11693515 
  13. Sofronic-Milosavljevic Lj, Djordjevic M, Plavsic B, Grgic B. Trichinella infection in Serbia in the first decade of the twenty-first century. Vet Parasitol. 2013;194(2-4):145-9.  https://doi.org/10.1016/j.vetpar.2013.01.042  PMID: 23462255 
  14. European Food Safety Authority (EFSA). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2017. EFSA J. 2018;16:5500.
  15. Yera H, Andiva S, Perret C, Limonne D, Boireau P, Dupouy-Camet J. Development and evaluation of a Western blot kit for diagnosis of human trichinellosis. Clin Diagn Lab Immunol. 2003;10(5):793-6.  https://doi.org/10.1128/CDLI.10.5.793-796.2003  PMID: 12965906 
  16. Gnjatovic M, Gruden-Movsesijan A, Miladinovic-Tasic N, Ilic N, Vasilev S, Cvetkovic J, et al. A competitive enzyme-linked immunosorbent assay for rapid detection of antibodies against Trichinella spiralis and T. britovi - one test for humans and swine. J Helminthol. 2019;93(1):33-41.  https://doi.org/10.1017/S0022149X17001092  PMID: 29168448 
  17. Zarlenga DS, Chute MB, Martin A, Kapel CM. A multiplex PCR for unequivocal differentiation of all encapsulated and non-encapsulated genotypes of Trichinella. Int J Parasitol. 1999;29(11):1859-67.  https://doi.org/10.1016/S0020-7519(99)00107-1  PMID: 10616932 
  18. European Union Reference Laboratory for Parasites, Istituto Superiore di Sanità (ISS). Identification of Trichinella muscle stage larvae at the species level by multiplex PCR. Rome: ISS; 2013. Available from: http://www.iss.it/binary/crlp/cont/MI_02_WEB_SITE.pdf
  19. Kapel CM, Measures L, Møller LN, Forbes L, Gajadhar A. Experimental Trichinella infection in seals. Int J Parasitol. 2003;33(13):1463-70.  https://doi.org/10.1016/S0020-7519(03)00202-9  PMID: 14572509 
  20. Sofronic-Milosavljevic Lj, Vasilev S, Cvetkovic J, Mitic I, Plavsa D, Andric A, et al. Trichinella infection in Serbia in 2016. 12th Workshop of National Reference Laboratories for Parasites. Rome: Istituto Superiore di Sanità; 18-19 May 2017.
  21. Pavic S, Andric A, Sofronic-Milosavljevic LJ, Gnjatovic M, Mitić I, Vasilev S, et al. Trichinella britovi outbreak: Epidemiological, clinical, and biological features. Med Mal Infect. 2019;S0399-077X(19)31060-1.  https://doi.org/10.1016/j.medmal.2019.10.008  PMID: 31732242 
  22. Gari-Toussaint M, Tieulié N, Baldin J, Dupouy-Camet J, Delaunay P, Fuzibet JG, et al. Human trichinellosis due to Trichinella britovi in southern France after consumption of frozen wild boar meat. Euro Surveill. 2005;10(6):117-8.  https://doi.org/10.2807/esm.10.06.00550-en  PMID: 16077211 
  23. Lachkar S, Abboud P, Gargala G, Etienne M, Gauliard E, Tron C, et al. [Troponin dosage in a patient with asymptomatic myocarditis due to trichinellosis]. Rev Med Interne. 2008;29(3):246-8. French.  https://doi.org/10.1016/j.revmed.2007.07.011  PMID: 17980464 
  24. Gamble HR, Boireau P, Kockler K, Kapel CMO. Prevention of Trichinella infection in the domestic pig. In: FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis. Dupouy-Camet J. Murrell K.D. (editors). Paris: World Organisation for Animal Health; 2007. pp 99-108.
  25. Viallet J, MacLean JD, Goresky CA, Staudt M, Routhier G, Law C. Arctic trichinosis presenting as prolonged diarrhea. Gastroenterology. 1986;91(4):938-46.  https://doi.org/10.1016/0016-5085(86)90698-0  PMID: 3743971 
  26. Dupouy-Camet J, Yera H, Dahane N, Bouthry E, Kapel CMO. A cluster of three cases of trichinellosis linked to bear meat consumption in the Arctic. J Travel Med. 2016;23(5):1-3.  https://doi.org/10.1093/jtm/taw037  PMID: 27296583 
A common source for a trichinellosis outbreak reported in France and Serbia in 2017
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=R%C3%A9gine+Barruet&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Barruet Régine</a>, <a href="/search?value1=Alice+Devez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Devez Alice</a>, <a href="/search?value1=Jean+Dupouy-Camet&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Dupouy-Camet Jean</a>, <a href="/search?value1=Gregory+Karadjian&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Karadjian Gregory</a>, <a href="/search?value1=Dragana+Plavsa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Plavsa Dragana</a>, <a href="/search?value1=Georges+Chyd%C3%A9riotis&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Chydériotis Georges</a>, <a href="/search?value1=Isabelle+Vall%C3%A9e&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vallée Isabelle</a>, <a href="/search?value1=Ljiljana+Sofronic-Milosavljevic&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sofronic-Milosavljevic Ljiljana</a>, <a href="/search?value1=H%C3%A9l%C3%A8ne+Yera&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Yera Hélène</a></span>. A common source for a trichinellosis outbreak reported in France and Serbia in 2017. <a href="/content/ecdc">Euro Surveill.</a> 2020;25(24):pii=1900527. <a href="https://doi.org/10.2807/1560-7917.ES.2020.25.24.1900527" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2020.25.24.1900527</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 15 Aug 2019;&nbsp;&nbsp; <span class="generated">Accepted</span>: 10 Jan 2020 </span> </p>
/content/10.2807/1560-7917.ES.2020.25.24.1900527
/content/10.2807/1560-7917.ES.2020.25.24.1900527
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