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November 10, 1951


Author Affiliations

Jefferson Barracks, Mo.; Pittsburgh

From the Veterans Administration Hospital, Jefferson Barracks, Mo.

JAMA. 1951;147(11):1044-1046. doi:10.1001/jama.1951.73670280009012d

Trichinosis is at least as deserving of the term "protean" as is syphilis. Since its description by Sir James Paget in 1835, a vast array of signs, symptoms, and disease syndromes have been traced to the presence of the pathogenic Trichinella nematode. The clinical course of trichinous infection is seldom "typical," and the diagnosis in sporadic cases is more often established by the pathologist than by the clinician. Hall listed 50 diseases that have been mistakenly diagnosed in patients infected with T. spiralis,1 and Gould, in his comprehensive monograph, has added many more to this list.2

For two reasons we wish to report a case of scalenus anticus syndrome caused by trichinosis: 1. To our knowledge this particular syndrome has not been previously reported to result from infestation with trichinae. 2. It seems worthwhile to reemphasize that sporadic trichinosis should be considered in differential diagnosis of any neuromuscular