[The course of trichinosis in patients with superinvasion opisthorchiasis]

An analysis of the clinical course of trichinosis in the presence of superinvasion opisthorchiasis is indicative of the prognostic value of the time course of changes in eosinophilia in patients: its gradual amelioration during a complex treatment suggests that there is a positive tendency for recovery from the disease; a drastic fall in the level of eosinophils is constantly accompanied by a more severe course of parasitic cenosis with inflammatory complication and a possible fatal outcome. In trichinosis concurrent with superinvasion opisthorchiasis, myocarditis constantly develops at weeks 3-4 of the onset of nematodosis. Prior myocardial changes (focal and diffuse cardiosclerosis) should be considered to be a complication due to superinvasion opisthorchiasis. Trichinosis accompanied by Opisthorchis invasion substantially deteriorates the course of the underlying disease, chronic alcoholic intoxication exalts the course of parasitic cenosis.