A Large-Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkey

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dc.contributor.authorAkkoc, N.
dc.contributor.authorKuruuzum, Z.
dc.contributor.authorAkar, S.
dc.contributor.authorYuce, A.
dc.contributor.authorOnen, F.
dc.contributor.authorYapar, N.
dc.contributor.authorOzgenc, O.
dc.contributor.authorTurk, M.
dc.contributor.authorOzdemir, D.
dc.contributor.authorAvci, M.
dc.contributor.authorGuruz, Y.
dc.contributor.authorOral, A. M.
dc.contributor.authorPozio, E.
dc.date.accessioned2019-10-27T20:19:19Z
dc.date.available2019-10-27T20:19:19Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractAn outbreak of trichinellosis occurred in Izmir, Turkey, between January and March 2004. The outbreak was caused by the consumption of raw meat balls made of beef deceptively mixed with pork infected with Trichinella britovi. A total of 1098 people who had consumed this food either in 14 restaurants or from the street vendors located in three different neighbourhoods, consulted six different healthcare centres with a wide range of clinical signs and symptoms. Of them, 418 (38.1%) patients fulfilled the criteria for the diagnosis of acute trichinellosis. The most commonly observed signs and symptoms were myalgia (89.2%), arthralgia (69.9%) and eyelid (67%) and facial oedema (65.8%). High levels of creatinine kinase (69.3%) and lactate dehydrogenase (93.8%) with leucocytosis (> 10 000/mm(3), 58.9%) and eosinophilia (> 1000/mm(3), 60.5%) were the most prominent laboratory findings. All, but 13 of these patients were treated with mebendazole or albendazole. Based on the physicians' assessments of disease severity, 78 (19%) patients were additionally given prednisolone in whom a significantly more rapid recovery of clinical signs and symptoms (e.g. fever, myalgia, facial and eyelid oedema) was observed, with a rapid improvement in leucocytosis, eosinophilia and muscle enzymes, compared with those, who had not received corticosteroids (P < 0.05). Beef illegally mixed with pork of unknown origin, by a wholesale butcher who had sold this product to restaurants and street vendors at a lower price than the prevailing market price of beef, was the cause of this large-scale outbreak in a country with a predominantly Muslim population.en_US
dc.identifier.doi10.1111/j.1863-2378.2008.01158.xen_US
dc.identifier.endpage70en_US
dc.identifier.issn1863-1959
dc.identifier.issn1863-2378
dc.identifier.issue2en_US
dc.identifier.pmid18705658en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage65en_US
dc.identifier.urihttps://doi.org/10.1111/j.1863-2378.2008.01158.x
dc.identifier.urihttps://hdl.handle.net/11454/41397
dc.identifier.volume56en_US
dc.identifier.wosWOS:000263046400003en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofZoonoses and Public Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTrichinella britovien_US
dc.subjecttrichinellosisen_US
dc.subjectepidemiologyen_US
dc.subjectoutbreaken_US
dc.subjecttreatmenten_US
dc.titleA Large-Scale Outbreak of Trichinellosis Caused by Trichinella britovi in Turkeyen_US
dc.typeArticleen_US

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