The specific symptoms (such as the muscular pain) of trichiniasis may be
due in part to mechanical damage of the muscle tissue, but it is also
probable that they are partly due to toxic products exuded by the worms
and partly to the introduction of alien protein material--the protein of
the worm--into the tissues. Secondary bacterial infection is also a
possibility, but there is little evidence to prove that this is an
important factor in most cases of trichiniasis. The various stages
observed in the progress of the disease are plainly connected with the
different phases of the worm's development--the initial localization in
the intestines, the invasion of the muscles, and the final encystment.
Swine become infected with this parasite by eating scraps of infected
meat, or the offal of their own kind, or by eating infected rats. The
rat, through its cannibalistic propensities, becomes infected
frequently, and is one of the chief factors in the wide dissemination of
the disease. Human infection is practically accidental and self-limited;
biologically speaking, man as a host does not enter into the
calculations of the parasite.
Treatment of established trichiniasis infection is palliative, not truly
remedial. The parasites, once inside the body, cannot be materially
affected by the administration of any drug. While cure of trichiniasis
is thus difficult, if not impossible, prevention is very simple. The
thorough cooking of all food is sufficient to preclude infection. This
relatively simple means of destroying the larvae is a more certain as
well as less expensive method of preventing infection than is the
laborious microscopic examination of the tissues of every slaughtered
hog. In Germany between 1881 and 1898 over 32 per cent of 6,329 cases of
trichinosis that were investigated were traced to meat that had been
microscopically examined and passed as free from trichinae.[92] On the
other hand, thorough cooking removes all possibility of danger.
TENIASIS
Various tapeworm or cestode infections are contracted by eating meat
containing the parasite. Particular species of tapeworm usually infest
the flesh of specific hosts, as _Tenia saginata_ in the beef and _Tenia
solium_ in the hog. The dwarf tapeworm, _Hymenolepis nana_, develops in
rats, and the human infections with this parasite occasionally observed
are probably caused by contamination of food by these animals.
[Illustration: FIG. 8.--_Cysticercus cellulosae_ in pig's tongue. (After
Neumann and Mayer.)]
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