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Trichinellosis Masquerading as a Soft-Tissue MassA Case Report
Corey Montgomery, MD, MS1; Steven Suggs, BS2; Cynthia Emory, MD3; J. David Pitcher, MD2
1 Department of Orthopaedic Surgery, University of Arkansas Medical Sciences, 4301 West Markham Street, 531, Little Rock, AR 72205. E-mail address: comontgomery@uams.edu
2 Department of Orthopaedics, University of Miami/Jackson Memorial Hospital, PO Box 016960 (D-27), Miami, FL 33101
3 Department of Orthopaedics, Wake Forest University Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157
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Investigation performed at the University of Miami Hospital, Miami, Florida



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Sep 26;2(3):e52 1-3. doi: 10.2106/JBJS.CC.K.00006
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Extract

Trichinellosis, also known as trichinosis and trichiniasis, is a rare infection caused by the ingestion of raw or undercooked meat containing viable encysted larvae of the parasitic roundworm Trichinella species1-3. Previously quite common, the Centers for Disease Control and Prevention currently report only a few trichinellosis cases annually in the United States2,4. The scarcity of present-day cases is largely attributed to increased federal legislation over the past several decades that led to many public health measures to educate people regarding techniques for safe food preparation2,4-6. Trichinellosis usually presents acutely with circumorbital edema, fever, myalgia, and abdominal discomfort. We report a case in a fifty-seven-year-old woman who presented atypically with a soft-tissue mass in the forearm. Clinical presentation, diagnosis, prevention, and treatment of this rare infection are discussed. The patient was informed that data concerning her case would be submitted for publication, and she provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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