Concerns About Undercooked Pork: Symptoms and Parasitic Infection Risks - Internal Medicine

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Undercooked pork consumption issues?


Hello, doctor.
Before the Qingming Festival, I dined at a Japanese pork cutlet chain restaurant and noticed that some pieces of meat seemed undercooked.
The symptoms I experienced are as follows: 1.
After returning home, I did not have any significant diarrhea, but after going back to my grandmother's house in the south, I suspected there might be an issue with the water source, as I experienced diarrhea for four consecutive days.
However, after returning to the north the next day, I have not had any diarrhea since.
2.
Recently, I have occasionally experienced mild headaches and a feeling of pressure in my head.
One day this week, I had a slight fever, mild muscle soreness (which resolved after a good night's sleep), loss of appetite, weight loss, and vomiting.
My menstrual cycle is normal.
Could this possibly indicate a parasitic infection? Should I get tested? Thank you very much for your response, doctor.

Vivi, 20~29 year old female. Ask Date: 2022/04/25

Dr. Lin Wufu reply Internal Medicine


Hello: Parasites in raw pork typically die after freezing, so unless you are consuming freshly slaughtered and cooked pork chops, the likelihood of contracting parasites from undercooked pork in Taiwan is quite low.
Given the current COVID-19 pandemic, it is more appropriate to first get tested for COVID-19 considering your symptoms.

Reply Date: 2022/04/25

More Info


When it comes to concerns about undercooked pork and the potential risk of parasitic infections, particularly from the pork tapeworm (Taenia solium), it is essential to understand both the symptoms associated with such infections and the appropriate steps to take for diagnosis and prevention.

Firstly, the symptoms you are experiencing, such as headaches, mild fever, muscle aches, loss of appetite, and weight loss, can be indicative of various health issues, including parasitic infections. However, these symptoms are not specific to pork tapeworm infections and can also be associated with other conditions, such as gastrointestinal infections, viral illnesses, or even stress-related issues. The fact that you experienced diarrhea after consuming food from your grandmother's water source suggests that there may have been a gastrointestinal disturbance unrelated to the pork you consumed.

Regarding the risk of infection from undercooked pork, it is important to note that while the pork tapeworm can be contracted by consuming undercooked or raw pork, the overall prevalence of such infections in developed countries, including the United States, is relatively low due to stringent food safety regulations and practices. In many cases, proper cooking of pork (to an internal temperature of at least 145°F or 63°C, followed by a three-minute rest time) is sufficient to kill any potential parasites.

If you are concerned about the possibility of a parasitic infection, there are several diagnostic methods available. Stool tests are commonly used to detect the presence of tapeworm eggs or segments in the feces. However, it is important to note that these tests can sometimes yield false negatives, especially if the test is not conducted during the period when eggs are being shed. Therefore, it is often recommended to collect stool samples over several days to increase the likelihood of detecting an infection.

Blood tests can also be useful in diagnosing certain parasitic infections, as they can reveal elevated levels of eosinophils (a type of white blood cell that often increases in response to parasitic infections) or specific antibodies against the parasites. However, these tests may not be definitive for all types of parasitic infections.

Given your symptoms and the recent history of consuming undercooked pork, it would be prudent to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and appropriate laboratory tests, to determine if there is an underlying parasitic infection or another health issue that needs to be addressed.

In terms of prevention, it is crucial to ensure that all pork is cooked thoroughly before consumption. Additionally, practicing good hygiene, such as washing hands before handling food and ensuring clean water sources, can help reduce the risk of parasitic infections. If you have concerns about the safety of food sources, especially when dining out or consuming food from unfamiliar places, it is always best to err on the side of caution.

In summary, while the symptoms you are experiencing could potentially be linked to a parasitic infection, they are not definitive indicators. Consulting with a healthcare professional for appropriate testing and evaluation is the best course of action. Meanwhile, ensuring proper cooking of pork and maintaining good hygiene practices will help mitigate the risk of infection.

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