infectious diseases
Trichinosis
Treatment of Trichinosis
Albendazoleormebendazoleto eliminate adult worms Symptomatic treatment Anthelmintics eliminate adultTrichinellaworms from the gastrointestinal tract, but once larvae encyst in skeletal muscle, treatment may not eradicate them or any associated symptoms. Albendazole400 mg orally twice a day for 8 to 14 days ormebendazole200 to 400 mg orally 3 times a day for 3 days, followed by 400 to 500 mg 3 times a day for 10 days can be used. The efficacy of higher doses and prolonged courses in killing encysted larvae is uncertain and adverse effects are more likely. Analgesics may help relieve muscle pains. For severe allergic manifestations or myocardial or central nervous system (CNS) involvement,prednisone20 to 60 mg orally once a day is given for 3 or 4 days, then tapered over 10 to 14 days. 