Korean J Parasitol.  2003 Jun;41(2):97-100. 10.3347/kjp.2003.41.2.97.

A case of acute gastric anisakiasis provoking severe clinical problems by multiple infection

Affiliations
  • 1Department of Internal Medicine, Kosin Medical College, Busan 602-703, Korea.
  • 2Department of Parasitology, Kosin Medical College, Busan 602-703, Korea.

Abstract

Acute gastric anisakiasis with multiple anisakid larvae infection is reported. A 68-year-old woman residing in Busan, Korea, had epigastric pain with severe vomiting about 5 hours after eating raw anchovies. Four nematode larvae penetrating the gastric mucosae in the great curvature of the middle body and fundus were found and removed during gasteroendoscopic examination. Another one thread-like moving larva was found in the great curvature of upper body on the following day. On the basis of their morphology, the worms were identified as the 3rd stage larvae of Anisakis simplex. This case is acute gastric anisakiasis provoking severe clinical problems by the multiple infection and the greatest number of anisakid larvae found in a patient in Korea.

Keyword

Anisakis simplex; gastric anisakiasis; fish
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