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Humans can serve as definitive hosts, with intestinal sarcocystosis for two species acquired from eating undercooked meat:\n                    <jats:named-content content-type=\"genus-species\">Sarcocystis hominis<\/jats:named-content>\n                    , from beef, and\n                    <jats:named-content content-type=\"genus-species\">Sarcocystis suihominis<\/jats:named-content>\n                    , from pork. Symptoms such as nausea, stomachache, and diarrhea vary widely depending on the number of cysts ingested but appear more severe with pork than with beef. Humans serve as intermediate hosts for\n                    <jats:named-content content-type=\"genus-species\">Sarcocystis nesbitti<\/jats:named-content>\n                    , a species with a reptilian definitive host, and possibly other unidentified species, acquired by ingesting sporocysts from feces-contaminated food or water and the environment; infections have an early phase of development in vascular endothelium, with illness that is difficult to diagnose; clinical signs include fever, headache, and myalgia. Subsequent development of intramuscular cysts is characterized by myositis. Presumptive diagnosis based on travel history to tropical regions, elevated serum enzyme levels, and eosinophilia is confirmed by finding sarcocysts in muscle biopsy specimens. There is no vaccine or confirmed effective antiparasitic drug for muscular sarcocystosis, but anti-inflammatory drugs may reduce symptoms. Prevention strategies are also discussed.\n                  <\/jats:p>","DOI":"10.1128\/cmr.00113-14","type":"journal-article","created":{"date-parts":[[2015,2,26]],"date-time":"2015-02-26T11:42:59Z","timestamp":1424950979000},"page":"295-311","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":203,"title":["Human Infections with Sarcocystis Species"],"prefix":"10.1128","volume":"28","author":[{"given":"Ronald","family":"Fayer","sequence":"first","affiliation":[{"name":"U.S. Department of Agriculture, Agricultural Research Service, Beltsville, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas H.","family":"Esposito","sequence":"additional","affiliation":[{"name":"Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitender P.","family":"Dubey","sequence":"additional","affiliation":[{"name":"U.S. Department of Agriculture, Agricultural Research Service, Beltsville, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_1_2_2","volume-title":"Sarcocystosis of animals and man","author":"Dubey JP","year":"1989","unstructured":"Dubey JP , Speer CA , Fayer R . 1989. 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