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Trichinellosis — SCE Infectious Diseases MCQ

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HardParasitologyTrichinellosisSCE Infectious Diseases

After eating undercooked wild boar, a man develops fever, periorbital oedema, eosinophilia and myalgia. Troponin is raised and cardiac MRI supports trichinella myocarditis. Which treatment is most appropriate?

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Correct answer: A — Albendazole for 8–14 days with adjunctive systemic corticosteroid therapy

Trichinellosis is treated with albendazole or mebendazole. Myocarditis is a severe inflammatory manifestation for which systemic corticosteroid is added. The original gastrointestinal-only stem did not justify steroid treatment; adding cardiac involvement makes the combined regimen specific.

Reference: UKHSA helminth infections migrant health guide: https://www.gov.uk/guidance/helminth-infections-migrant-health-guide