Anisakiasis: Report of 15 Gastric Cases Caused by Anisakis Type I Larvae and a Brief Review of Korean Anisakiasis Cases.
10.3347/kjp.2015.53.4.465
- Author:
Woon Mok SOHN
1
;
Byoung Kuk NA
;
Tae Hyo KIM
;
Tae Joon PARK
Author Information
1. Department of Parasitology and Tropical Medicine, and Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju 660-751, Korea. wmsohn@gnu.ac.kr
- Publication Type:Case Report
- Keywords:
Anisakiasis;
Anisakis type I larva;
review;
Korean anisakiasis
- MeSH:
Adult;
Animals;
Anisakiasis/epidemiology/*parasitology/*veterinary;
Anisakis/genetics/*isolation & purification/physiology;
Female;
Fish Diseases/*parasitology;
Fishes/classification/parasitology;
Food Contamination/analysis;
Humans;
Larva/genetics/*physiology;
Male;
Middle Aged;
Prevalence;
Republic of Korea/epidemiology;
Stomach/parasitology;
Stomach Diseases/epidemiology/*parasitology
- From:The Korean Journal of Parasitology
2015;53(4):465-470
- CountryRepublic of Korea
- Language:English
-
Abstract:
The present study was performed to report 15 anisakiasis cases in Korea and to review the Korean cases reported in the literature. Total 32 Anisakis type I larvae were detected in the stomach of 15 patients by the endoscopy. Single worm was detected from 12 cases, and even 9 larvae were found from 2 cases. Epigastric pain was most commonly manifested in almost all cases, and hemoptysis and hematemesis were seen in 1 case each. Symptom manifestations began at 10-12 hr after eating fish in 73.3% cases. Endoscopy was performed 1-2 days after the symptom onset in most cases. The common conger, Conger myriaster, was the probable infection source in 7 cases. In the review of Korean anisakiasis cases, thus far, total 645 cases have been reported in 64 articles. Anisakis type I larva was the most frequently detected (81.3%). The favorable infection site of larvae was the stomach (82.4%). The common conger was the most probable source of human infections (38.6%). Among the total 404 cases which revealed the age and sex of patients, 185 (45.8%) were males, and the remaining 219 (54.2%) were female patients. The age prevalence was the highest in forties (34.7%). The seasonal prevalence was highest in winter (38.8%). By the present study, 15 cases of gastric anisakiasis are added as Korean cases, and some epidemiological characteristics of Korean anisakiasis were clarified.
