(second in a series on parasites that cause human disease that are becoming more common in the United States)
Before I met my New Orleans bred, meat-braising husband, I thought that cooked pork was naturally dry and flaky. After we started dating, I learned that my mother had just been overcooking it for years (sorry, Mom). My mother wasn’t really a bad cook -- she was just worried about accidentally infecting us kids with pork tapeworms. And now that I know more about this parasite, I can hardly blame her for trying to cook the tref out of those chops.
Unlike the parasitic roundworms featured last week where a human infection is a reproductive dead end for the worms, the tapeworm Taenia solium is a human parasite. Adult worms live in human intestines, where they use the hooks on their head to attach to the intestinal wall and shed egg-filled segments of their bodies, which travel to the outside world in feces.
If an unsuspecting pig is rooting around the privy, it might swallow a few thousand tapeworm eggs. Inside the pig, the worm larvae drill through the intestinal wall into the pig’s bloodstream, then get swept to muscle or nerve tissue where they can encyst themselves and wait for the slaughter. After a person eats the infected meat, the immature worms break out of their cysts to mature in a new intestine.
Despite their alarming size (they can grow to be seven meters long), a mature worm in a human intestine causes little more than a bit of indigestion or constipation. The real human health problems start when the immature form gets in a person instead of its proper porcine intermediate host. Because worms in this stage are going to encyst themselves – and the cysts can interfere with the normal function of the human body. Cysts in muscles can cause swelling and fever. Cysts in the eyes can cause blindness. And cysts in the brain can cause epilepsy or strokes.
Prevention? Simple public health measures like keeping sewage away from people and food animals can break the transmission chain. High heat kills worms that are encycted in meat, so cook that ham thoroughly. And as always, wash, wash, wash those hands.
Image: immature Taenia solium encysted in a human brain. (Centers for Disease Control and Preventionl)
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