Infestation by Trichinella spiralis is considered to be a common disease in the United States, where as high an incidence as 36%1 has been recorded when painstaking search is made at autopsy for the encysted larvae. However, the mortality must be low. It is estimated at 6% of the reported cases.2 An accurate figure for these is not immediately available, but it must be appreciably smaller than the actual attack rate estimated from autopsy figures.
When death does occur, it is due predominantly to involvement of the heart1, with production of functional impairment leading to heart failure. Herewith is presented a case report on trichinosis with a fatal outcome in which the diagnosis was reached only with examination of the autopsy material.
The patient was a 27-year-old male who had noted the concurrent onset of muscular weakness, cough, chills, and fever approximately one month before admission. Chills
Chase GO. DEATH DUE TO EOSINOPHILIC MYOCARDITIS RELATED TO TRICHINOSISREPORT OF A CASE. JAMA. 1957;165(14):1826–1829. doi:10.1001/jama.1957.72980320008011c
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