Incidental Finding of Trichinella in a Patient with Gluteal Abscess: A Case Report

Trichinosis is caused most commonly by the nematode Trichinella spiralis. In this paper we report a case of gluteal abscess that developed after a man ingested undercooked wild boar meat. The biopsy revealed a small calcified cyst encircling a coiled threadlike worm. The diagnosis was trichinosis superimposed by pyogenic bacterial infection. As gram-positive cocci were seen, empirical treatment with amoxicillin and clavulanic acid was given for two weeks. The man was given albendazole at 400 mg twice daily for 14 days to eliminate infection from the intestine. The gluteal abscess healed uneventfully after two weeks. To the best of our knowledge, trichinosis superimposed with pyogenic bacterial infection is rarely reported in the literature.