Risk of Infection from Snail Encounter During Meal: What to Know - Internal Medicine

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Infection issues


If I accidentally bit into a snail shell while eating a lunch box and realized it afterward, but I didn't swallow it, am I at risk of infection? If I have a wound in my mouth, does that increase the likelihood? Should I monitor the situation or seek medical evaluation?

Yuan, 20~29 year old female. Ask Date: 2021/03/26

Dr. Hong Yuanbin reply Internal Medicine


Hello, regarding the snail you mentioned, it is unclear whether it is alive or has been cooked with the food.
If it has already been cooked, it should theoretically pose no harm.
However, if it is raw, one must be cautious of potential parasitic infections or bacterial contamination.
It is advisable to monitor for symptoms such as fever, headache, abdominal pain, diarrhea, nausea, etc.
If any of these symptoms occur, seeking medical attention is recommended.
Thank you for your inquiry.

Reply Date: 2021/03/26

More Info


When it comes to the risk of infection from encountering snails during a meal, particularly if you accidentally bit into a snail shell and have oral wounds, there are several factors to consider.
First, it's important to understand that snails can carry various parasites and bacteria, including those that can cause infections in humans. One of the most notable concerns is the potential for infection with the rat lungworm (Angiostrongylus cantonensis), which can be transmitted through the consumption of raw or undercooked snails or slugs. However, the risk of transmission through incidental contact, such as biting into a snail shell and not swallowing any part of the snail, is significantly lower.

If you have oral wounds, such as cuts or sores in your mouth, this could potentially increase your risk of infection. Open wounds can serve as entry points for pathogens, and if the snail or its environment contained harmful microorganisms, there is a possibility of infection. However, the likelihood of contracting a serious illness from this specific encounter is generally low, especially if you did not ingest any part of the snail.

In terms of immediate steps to take, it is advisable to monitor your health closely for any signs of infection. Symptoms to watch for include:
1. Local Symptoms: Redness, swelling, or increased pain around the area of the wound in your mouth.

2. Systemic Symptoms: Fever, chills, or any unusual fatigue that may suggest a more systemic infection.

If you experience any of these symptoms, it would be prudent to seek medical attention. A healthcare provider can assess your situation more thoroughly and may recommend tests or treatments if necessary.

As for preventive measures, maintaining good oral hygiene is crucial, especially if you have any cuts or sores in your mouth. Rinse your mouth with clean water after eating, and avoid consuming raw or undercooked snails or shellfish in the future.
In summary, while there is a potential risk of infection from the encounter with the snail, the actual risk is relatively low, especially if you did not swallow any part of it. However, given the presence of oral wounds, it is wise to remain vigilant for any signs of infection and consult a healthcare professional if you have any concerns.

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