Two cases of trichinellosis with uveitis after eating bear meat Chie Yukawa 1,2 , Sujin Hoshi 1 , Yuichi Kaji 1 , Hiromichi Suzuki 3 , Harumi Yano 4 , Kazunori Miyata 2 , Isao Nagano 5 , Tetsuro Oshika 1 1Department of Ophthalmology, University of Tsukuba Hospital 2Miyata Eye Hospital 3Division of Infectious Diseases, Department of Medicine, Tsukuba Medical Center Hospital 4Center for Global Health, Mito Kyodo General Hospital, University of Tsukuba 5Department of Parasitology and Infectious Diseases, Gifu University Graduate School of Medicine pp.363-367
Published Date 2018/3/15
DOI https://doi.org/10.11477/mf.1410212620
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Abstract Purpose:To report two cases of uveitis with trichinellosis following ingestion of roasted bear meat.

Cases:A 32-year-old man presented with rash of skin, muscle pain, bilateral palpebral edema, fever and blurred vision in both eyes 2 weeks after eating bear meat. He was diagnosed as trichinellosis. Treatment with oral albendazole and prednisolone was started. With ophthalmological examination, cells in anterior chamber and retinal hemorrhages were observed in his both eyes. Fluorescein angiography revealed retinal vascular leakage. Another 41-year-old man presented with rash of skin, muscle pain, fever and blurred vision in his left eye 2 weeks after eating bear meat. He was diagnosed with trichinellosis. Oral administration of albendazole was started. Vitreous cells and retinal hemorrhage were observed in both eyes. In both cases, inflammation and retinal hemorrhage disappeared one month after first visit.

Conclusion:Trichinellosis is one of the causes of uveitis and palpebral edema. It is important to take history of raw meat consumption for diagnosing trichinellosis.

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