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"Anisakis simplex"

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"Anisakis simplex"

Original Article

Larval Anisakid Infections in Marine Fish from Three Sea Areas of the Republic of Korea
Shin-Hyeong Cho, Sang-Eun Lee, Ok-Hee Park, Byoung-Kuk Na, Woon-Mok Sohn
Korean J Parasitol 2012;50(4):295-299.
Published online November 26, 2012
DOI: https://doi.org/10.3347/kjp.2012.50.4.295

The present study was performed to determine the infection status of anisakid larvae in marine fish collected from 3 sea areas of the Republic of Korea. Total 86 marine fish (8 species) collected from the East Sea (Goseong-gun, Gangwon-do), 171 fish (10 species) from the South Sea (Sacheon-si, Gyeongsangnam-do), and 92 fish (7 species) from the Yellow Sea (Incheon Metropolitan City) were examined by both naked eyes and artificial digestion method. Among the total of 349 fish examined, 213 (61.0%) were infected with 8 species of anisakid larvae, i.e., Anisakis simplex, 6 types of Contracaecum spp., and Raphidascaris sp., and the mean larval density was 13.8 per infected fish. Anisakid larvae were detected in 45 fish (52.3%) from the East Sea, 131 fish (76.6%) from the South Sea, and 37 fish (40.2%) from the Yellow Sea. The average numbers of larvae detected were 4.0, 16.6, and 15.9, respectively. Anisakis simplex larvae were detected in 149 fish (42.7%), and the mean larval density was 9.0 per infected fish. They were found in 26 fish (30.2%) collected from the East Sea, 96 fish (56.1%) from the South Sea, and 27 fish (29.3%) from the Yellow Sea. The average numbers of larvae detected were 2.9, 10.3, and 10.5, respectively. Conclusively, the present study suggests that the infection rate and density of anisakid larvae are more or less higher in the fish from the South Sea than those from the East Sea or the Yellow Sea.

Citations

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  • Genetic analyses of Anisakis pegreffii (Nematoda: Anisakidae) from the East Asian finless porpoise Neophocaena asiaeorientalis sunameri (Cetacea: Phocoenidae) in Korean waters
    Sunmin Kim, Jong Yoon Jeon, Kyunglee Lee, Hyunjoo Lee, Han Chan Park, Kyung Eun Lee, Hang Lee, Sung Bin Lee, Sang Wha Kim, Se Chang Park, Seongjun Choe, Heejeong Youn
    Parasitology Research.2024;[Epub]     CrossRef
  • Re‐evaluation of certain aspects of the EFSA Scientific Opinion of April 2010 on risk assessment of parasites in fishery products, based on new scientific data. Part 2
    Ana Allende, Avelino Alvarez‐Ordóñez, Valeria Bortolaia, Sara Bover‐Cid, Alessandra De Cesare, Wietske Dohmen, Laurent Guillier, Lieve Herman, Liesbeth Jacxsens, Maarten Nauta, Lapo Mughini‐Gras, Jakob Ottoson, Luisa Peixe, Fernando Perez‐Rodriguez, Panag
    EFSA Journal.2024;[Epub]     CrossRef
  • Parasites in the Skeletal Muscle of Amberjacks Seriola spp. in Japan: A Review
    Kazuo Ogawa
    Fish Pathology.2023; 58(4): 127.     CrossRef
  • Prevalence of Anisakid Nematodes in Fish in China: A Systematic Review and Meta-Analysis
    Qing Liu, Qi Wang, Jing Jiang, Jun-Yang Ma, Xing-Quan Zhu, Qing-Long Gong
    Frontiers in Veterinary Science.2022;[Epub]     CrossRef
  • Epidemical study of third stage larvae of Anisakis spp. infection in marine fishes in China from 2016 to 2017
    Shuran Yang, Xiaoyan Pei, Ying Li, Li Zhan, Zhen Tang, Weiwei Chen, Xia Song, Dajin Yang
    Food Control.2020; 107: 106769.     CrossRef
  • Anisakidosis
    Heung Up Kim
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(1): 23.     CrossRef
  • <i>Anisakis pegreffii</i> Larvae in Sea Eels (<i>Astroconger myriaster</i>) from the South Sea, Republic of Korea
    Jaeeun Cho, Hyemi Lim, Bong-Kwang Jung, Eun-Hee Shin, Jong-Yil Chai
    The Korean Journal of Parasitology.2015; 53(3): 349.     CrossRef
  • Molecular Analysis ofAnisakis Type I Larvae in Marine Fish from Three Different Sea Areas in Korea
    Woon-Mok Sohn, Jung-Mi Kang, Byoung-Kuk Na
    The Korean Journal of Parasitology.2014; 52(4): 383.     CrossRef
  • Clinical Update on Parasitic Diseases
    Min Seo
    Korean Journal of Medicine.2013; 85(5): 469.     CrossRef
  • 8,768 View
  • 90 Download
  • Crossref

Brief Communication

Expression and Characterization of α-Methylacyl CoA Racemase from Anisakis simplex Larvae
Bong Jin Kim, Sun Mi Kim, Min Kyung Cho, Hak Sun Yu, Yong Seok Lee, Hee Jae Cha, Meesun Ock
Korean J Parasitol 2012;50(2):165-171.
Published online May 24, 2012
DOI: https://doi.org/10.3347/kjp.2012.50.2.165

Larval excretory-secretory products of Anisakis simplex are known to cause allergic reactions in humans. A cDNA library of A. simplex 3rd-stage larvae (L3) was immunoscreened with polyclonal rabbit serum raised against A. simplex L3 excretory-secretory products to identify an antigen that elicits the immune response. One cDNA clone, designated as α-methylacyl CoA racemase (Amacr) contained a 1,412 bp cDNA transcript with a single open reading frame that encoded 418 amino acids. A. simplex Amacr showed a high degree of homology compared to Amacr orthologs from other species. Amacr mRNA was highly and constitutively expressed regardless of temperature (10-40℃) and time (24-48 hr). Immunohistochemical analysis revealed that Amacr was expressed mainly in the ventriculus of A. simplex larvae. The Amacr protein produced in large quantities from the ventriculus is probably responsible for many functions in the development and growth of A. simplex larvae.

Citations

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  • The mitochondrial genome ofAncylostoma tubaeformefrom cats in China
    X.L. Shi, Y.Q. Fu, A.Y. Abdullahi, M.W. Wang, F. Yang, X.G. Yu, W.D. Pan, X.X. Yan, J.X. Hang, P. Zhang, G.Q. Li
    Journal of Helminthology.2018; 92(1): 22.     CrossRef
  • α-Methylacyl-CoA racemase (AMACR): Metabolic enzyme, drug metabolizer and cancer marker P504S
    Matthew D. Lloyd, Maksims Yevglevskis, Guat Ling Lee, Pauline J. Wood, Michael D. Threadgill, Timothy J. Woodman
    Progress in Lipid Research.2013; 52(2): 220.     CrossRef
  • 9,856 View
  • 51 Download
  • Crossref

Original Articles

A 24 kDa Excretory-Secretory Protein of Anisakis simplex Larvae Could Elicit Allergic Airway Inflammation in Mice
Hye-Kyung Park, Min Kyoung Cho, Mi Kyung Park, Shin Ae Kang, Yun Seong Kim, Ki Uk Kim, Min Ki Lee, Mee Sun Ock, Hee Jae Cha, Hak Sun Yu
Korean J Parasitol 2011;49(4):373-380.
Published online December 16, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.4.373

We have reported that a 24 kDa protein (22U homologous; As22U) of Anisakis simplex larvae could elicit several Th2-related chemokine gene expressions in the intestinal epithelial cell line which means that As22U may play a role as an allergen. In order to determine the contribution of As22U to allergic reactions, we treated mice with 6 times intra-nasal application of recombinant As22U (rAs22U). In the group challenged with rAs22U and ovalbumin (OVA), the number of eosinophils in the bronchial alveolar lavage fluid (BALF) was significantly increased, as compared to the group receiving only OVA. In addition, mice treated with rAs22U and OVA showed significantly increased airway hyperresponsiveness. Thus, severe inflammation around the airway and immune cell recruitment was observed in mice treated with rAs22U plus OVA. The levels of IL-4, IL-5, and IL-13 cytokines in the BALF increased significantly after treatment with rAs22U and OVA. Similarly, the levels of anti-OVA specific IgE and IgG1 increased in mice treated with rAs22U and OVA, compared to those treated only with OVA. The Gro-α (CXCL1) gene expression in mouse lung epithelial cells increased instantly after treatment with rAs22U, and allergy-specific chemokines eotaxin (CCL11) and thymus-and-activation-regulated-chemokine (CCL17) gene expressions significantly increased at 6 hr after treatment. In conclusion, rAs22U may induce airway allergic inflammation, as the result of enhanced Th2 and Th17 responses.

Citations

Citations to this article as recorded by  Crossref logo
  • Anisakis pegreffii Extract Induces Airway Inflammation with Airway Remodeling in a Murine Model System
    Jun Ho Choi, Ju Yeong Kim, Myung-hee Yi, Myungjun Kim, Tai-Soon Yong, Kalman Imre
    BioMed Research International.2021;[Epub]     CrossRef
  • Allergen-like Molecules from Parasites
    Ju Yeong Kim, Myung-Hee Yi, Tai-Soon Yong
    Current Protein & Peptide Science.2020; 21(2): 186.     CrossRef
  • Research Note. Prevalence, protein analysis and possible preventive measures against zoonotic anisakid larvae isolated from marine Atherina fish
    M. Samir, M. A. Amin, A. O. Hassan, A. M. Merwad, M. A. I. Awadallah
    Helminthologia.2015; 52(4): 375.     CrossRef
  • Allergenicity of two Anisakis simplex allergens evaluated in vivo using an experimental mouse model
    Min Kyoung Cho, Mi Kyung Park, Shin Ae Kang, Maria Luisa Caballero, Teresa Perez-Pinar, Rosa Rodriguez-Perez, Mee Sun Ock, Hee Jae Cha, Yeon Chul Hong, Hak Sun Yu
    Experimental Parasitology.2014; 146: 71.     CrossRef
  • Alteration of Cytokine Production during Visceral Larva Migrans by Toxascaris leonina in Mice
    Shin Ae Kang, Mi-Kyung Park, Min Kyoung Cho, Hak Sun Yu
    The Korean Journal of Parasitology.2013; 51(5): 583.     CrossRef
  • 9,357 View
  • 76 Download
  • Crossref
Seroprevalence of Antibodies against Anisakis simplex Larvae among Health-Examined Residents in Three Hospitals of Southern Parts of Korea
Jung Kim, Jin Ok Jo, Seon Hee Choi, Min Kyoung Cho, Hak Sun Yu, Hee Jae Cha, Meesun Ock
Korean J Parasitol 2011;49(2):139-144.
Published online June 14, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.2.139

The present study was performed to estimate the seroprevalence of larval Anisakis simplex infection among the residents health-examined in 3 hospitals in southern parts of Korea. A total of 498 serum samples (1 serum per person) were collected in 3 hospitals in Busan Metropolitan city, Masan city, and Geoje city in Gyeongsangnam-do (Province) and were examined by IgE-ELISA and IgE-western blotting with larval A. simplex crude extract and excretory-secretory products (ESP). The prevalence of antibody positivity was 5.0% and 6.6% with ELISA against crude extracts and ESP, respectively. It was also revealed that infection occurred throughout all age groups and higher in females than in males. A specific protein band of 130 kDa was detected from 10 patients with western blot analysis against crude extract and ESP among those who showed positive results by ELISA. Our study showed for the first time the seroprevalence of anisakiasis in Korea. The allergen of 130 kDa can be a candidate for serologic diagnosis of anisakiasis.

Citations

Citations to this article as recorded by  Crossref logo
  • Seroprevalence of IgG and IgE Antibodies Against Anisakis in the Presumably Healthy Population of the Canary Islands
    Eligia González-Rodríguez, Marta Rodero, J. Alberto Montoya-Alonso, Kevin M. Santana-Hernández, Myriam R. Ventura, Carmen Cuéllar, Eligia Rodríguez-Ponce
    Antibodies.2025; 14(3): 60.     CrossRef
  • Proteome identification of common immunological proteins of two nematode parasites
    Shin Ae Kang, Hak Sun Yu
    Parasites, Hosts and Diseases.2024; 62(3): 342.     CrossRef
  • Progress in Anisakis Allergy Research: Milestones and Reversals
    Alvaro Daschner, Carmen Cuéllar
    Current Treatment Options in Allergy.2020; 7(4): 457.     CrossRef
  • IgE sensitization to Anisakis pegreffii in Italy: Comparison of two methods for the diagnosis of allergic anisakiasis
    S. Mattiucci, A. Colantoni, B. Crisafi, F. Mori‐Ubaldini, L. Caponi, P. Fazii, G. Nascetti, F. Bruschi
    Parasite Immunology.2017;[Epub]     CrossRef
  • Anthelmintic Activities of Aporphine from Nelumbo nucifera Gaertn. cv. Rosa-plena against Hymenolepis nana
    Rong-Jyh Lin, Mei-Hsuan Wu, Yi-Hsuan Ma, Li-Yu Chung, Chung-Yi Chen, Chuan-Min Yen
    International Journal of Molecular Sciences.2014; 15(3): 3624.     CrossRef
  • Endoscopic imaging of parasites in the human digestive tract
    Naoki Hosoe, Haruhiko Ogata, Toshifumi Hibi
    Parasitology International.2014; 63(1): 216.     CrossRef
  • An Extended Study of Seroprevalence of Anti‐Anisakis simplex IgE Antibodies in Norwegian Blood Donors
    A. H. Lin, I. Nepstad, E. Florvaag, E. Egaas, T. Van Do
    Scandinavian Journal of Immunology.2014; 79(1): 61.     CrossRef
  • Occurrence of anisakid nematode larvae in chub mackerel (Scomber japonicus) caught off Korea
    Tae-Jong Bak, Chan-Hyeok Jeon, Jeong-Ho Kim
    International Journal of Food Microbiology.2014; 191: 149.     CrossRef
  • Clinical Characteristics of Gastroallergic Anisakiasis and Diagnostic Implications of Immunologic Tests
    Young-Bae Chung, Jaechun Lee
    Allergy, Asthma & Immunology Research.2014; 6(3): 228.     CrossRef
  • Preventive and Therapeutic Effects of <italic>Anisakis simplex</italic> Larval Protein in a Mouse Model of Crohn’S Disease
    Hee-Jae Cha, Mee Sun Ock
    Kosin Medical Journal.2013; 28(2): 107.     CrossRef
  • Cross-sectional study of serum reactivity to Anisakis simplex in healthy adults in Niter?i, Brazil
    Israel Junior, Mauricio Vericimo, Luciana Cardoso, Sergio Clemente, Elmiro Nascimento, Gerlinde Teixeira
    Acta Parasitologica.2013;[Epub]     CrossRef
  • Detection of Microorganisms in Granulomas That Have Been Formalin-Fixed: Review of the Literature Regarding Use of Molecular Methods
    Jeannette Guarner
    Scientifica.2012; 2012: 1.     CrossRef
  • Anisakidosis in Korea; Changes Over the Last Decade
    Hee Jae Cha, Mee Sun Ock
    Kosin Medical Journal.2012; 27(2): 73.     CrossRef
  • Prevalence of Zoonotic Anisakid Nematodes in Inuit-Harvested Fish and Mammals from the Eastern Canadian Arctic
    Erica L. Pufall, Andria Jones-Bitton, Scott A. McEwen, Tanya M. Brown, Victoria L. Edge, Jerzy Rokicki, Katarzyna Karpiej, Andrew S. Peregrine, Manon Simard
    Foodborne Pathogens and Disease.2012; 9(11): 1002.     CrossRef
  • A technique for the intra-gastric administration of live larvae of Anisakis simplex in mice
    Israel Figueiredo, Luciana Cardoso, Gerlinde Teixeira, Leila Lopes, Sergio Carmona São Clemente, Mauricio Afonso Vericimo
    Experimental Parasitology.2012; 130(3): 285.     CrossRef
  • 9,955 View
  • 92 Download
  • Crossref
Anisakis simplex Larvae: Infection Status in Marine Fish and Cephalopods Purchased from the Cooperative Fish Market in Busan, Korea
Seon Hee Choi, Jung Kim, Jin Ok Jo, Min Kyung Cho, Hak Sun Yu, Hee Jae Cha, Mee Sun Ock
Korean J Parasitol 2011;49(1):39-44.
Published online March 18, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.1.39

The infection status of marine fish and cephalopods with Anisakis simplex third stage larva (L3) was studied over a period of 1 year. A total of 2,537 specimens, which consisted of 40 species of fish and 3 species of cephalopods, were purchased from the Cooperative Fish Market in Busan, Korea, from August 2006 to July 2007. They were examined for A. simplex L3 from the whole body cavity, viscera, and muscles. A. simplex L3 were confirmed by light microscopy. The overall infection rate reached 34.3%, and average 17.1 larvae were parasitized per infected fish. Fish that recorded the highest infection rate was Lophiomus setigerus (100%), followed by Liparis tessellates (90%), Pleurogrammus azonus (90%), and Scomber japonicus (88.7%). The intensity of infection was the highest in Gadus macrocephalus (117.7 larvae per fish), followed by S. japonicus (103.9 larvae) and L. setigerus (54.2 larvae). Although abundance of A. simplex L3 was not seasonal in most of the fish species, 10 of the 16 selected species showed the highest abundance in February and April. A positive correlation between the intensity of L3 infection and the fish length was obvious in S. japonicus and G. macrocephalus. It was likely that A. simplex L3 are more frequently infected during the spring season in some species of fish. Our study revealed that eating raw or undercooked fish or cephalopods could still be a source of human infection with A. simplex L3 in Korea.

Citations

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  • Comparative study of Taqman-based qPCR assay for the detection of Anisakis simplex and Pseudoterranova decipiens
    Mi-Gyeong Kim, Min Ji Hong, Doo Won Seo, Hyun Mi Jung, Hyun-Ja Han, Seung Hwan Kim, Insun Joo, Elingarami Sauli
    PLOS One.2025; 20(4): e0320724.     CrossRef
  • A critical review of anisakidosis cases occurring globally
    Shokoofeh Shamsi, Diane P. Barton
    Parasitology Research.2023; 122(8): 1733.     CrossRef
  • Larval ascaridoid nematodes in horned and musky octopus (Eledone cirrhosa and E. moschata) and longfin inshore squid (Doryteuthis pealeii): Safety and quality implications for cephalopod products sold as fresh on the Italian market
    L. Guardone, E. Bilska-Zając, A. Giusti, R. Malandra, T. Cencek, A. Armani
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    Eevi Savola, Dieter Ebert
    BMC Ecology.2019;[Epub]     CrossRef
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    Shokoofeh Shamsi
    Fishes.2019; 4(1): 9.     CrossRef
  • Endosonographic Findings and the Natural Course of Chronic Gastric Anisakiasis: A Single-Center Experience
    Eun Young Park, Dong Hoon Baek, Gwang Ha Kim, Bong Eun Lee, So-Jeong Lee, Do Youn Park
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • Hiện trạng nhiễm ký sinh trùng trên cá bớp (Rachycentron canadum) nuôi lồng ở tỉnh Kiên Giang
    Từ Thanh Dung, Phan Văn Út, Nguyễn Bảo Trung
    Can Tho University Journal of Science.2017; 51: 106.     CrossRef
  • Occurrence and molecular identification of anisakid nematodes isolated from Pacific cod ( Gadus macrocephalus ) caught off Korea
    Chan-Hyeok Jeon, Eko Setyobudi, Jeong-Ho Kim
    Food Control.2016; 69: 100.     CrossRef
  • Inactivation of Anisakis simplex L3 in the flesh of white spotted conger (Conger myriaster) by high hydrostatic pressure and its effect on quality
    Ki-Hoon Lee, Shin Young Park, Sang-Do Ha
    Food Additives & Contaminants: Part A.2016; 33(6): 1010.     CrossRef
  • Simultaneous Detection and Prevalence of Allergens in Anisakis Species Isolated from Marine Fishes
    Woo Joo Lee, Dong Joo Seo, Hyejin Oh, Su Been Jeon, Day Jung, Changsun Choi
    Journal of Food Protection.2016; 79(5): 789.     CrossRef
  • <i>Anisakis pegreffii</i> Larvae in Sea Eels (<i>Astroconger myriaster</i>) from the South Sea, Republic of Korea
    Jaeeun Cho, Hyemi Lim, Bong-Kwang Jung, Eun-Hee Shin, Jong-Yil Chai
    The Korean Journal of Parasitology.2015; 53(3): 349.     CrossRef
  • Molecular Analysis ofAnisakis Type I Larvae in Marine Fish from Three Different Sea Areas in Korea
    Woon-Mok Sohn, Jung-Mi Kang, Byoung-Kuk Na
    The Korean Journal of Parasitology.2014; 52(4): 383.     CrossRef
  • Molecular identification of anisakid nematodes third stage larvae isolated from common squid (Todarodes pacificus) in Korea
    Eko Setyobudi, Chan-Hyeok Jeon, Kwangho Choi, Sung Il Lee, Chung Il Lee, Jeong-Ho Kim
    Ocean Science Journal.2013; 48(2): 197.     CrossRef
  • Anisakidosis in Korea; Changes Over the Last Decade
    Hee Jae Cha, Mee Sun Ock
    Kosin Medical Journal.2012; 27(2): 73.     CrossRef
  • Larval Anisakid Infections in Marine Fish from Three Sea Areas of the Republic of Korea
    Shin-Hyeong Cho, Sang-Eun Lee, Ok-Hee Park, Byoung-Kuk Na, Woon-Mok Sohn
    The Korean Journal of Parasitology.2012; 50(4): 295.     CrossRef
  • A rapid PCR–RFLP method for the identification of Lophius species
    Andrea Armani, Lorenzo Castigliego, Lara Tinacci, Gabriele Gandini, Daniela Gianfaldoni, Alessandra Guidi
    European Food Research and Technology.2012; 235(2): 253.     CrossRef
  • Laryngeal Anisakiasis
    Seo Young Kwak, Yeo‐Hoon Yoon
    Otolaryngology–Head and Neck Surgery.2012; 147(3): 588.     CrossRef
  • Seroprevalence of Antibodies againstAnisakis simplexLarvae among Health-Examined Residents in Three Hospitals of Southern Parts of Korea
    Jung Kim, Jin Ok Jo, Seon Hee Choi, Min Kyoung Cho, Hak Sun Yu, Hee Jae Cha, Meesun Ock
    The Korean Journal of Parasitology.2011; 49(2): 139.     CrossRef
  • 10,485 View
  • 103 Download
  • Crossref

Mini Review

Immune reactions and allergy in experimental anisakiasis
Sung-Weon Cho, Haneul Nari Lee
Korean J Parasitol 2006;44(4):271-283.
Published online December 20, 2006
DOI: https://doi.org/10.3347/kjp.2006.44.4.271

The third-stage larvae (L3) of the parasitic nematode, Anisakis simplex, have been implicated in the induction of hyperimmune allergic reactions in orally infected humans. In this work, we have conducted a review of an investigation into immune reactions occurring in animals experimentally infected with A. simplex L3. The patterns of serum antibody productions in the experimental animals against excretory-secretory products (ESP) of A. simplex L3 contributed to our current knowledge regarding specific humoral immune reactions in humans. In our review, we were able to determine that L3 infection of experimental animals may constitute a good model system for further exploration of immune mechanisms and allergy in anisakiasis of humans.

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  • A One Health Perspective on Heartworm Disease: Allergy Risk in Owners of Infected Dogs in Gran Canaria (Spain)
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  • Anisakis pegreffii Extract Induces Airway Inflammation with Airway Remodeling in a Murine Model System
    Jun Ho Choi, Ju Yeong Kim, Myung-hee Yi, Myungjun Kim, Tai-Soon Yong, Kalman Imre
    BioMed Research International.2021;[Epub]     CrossRef
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  • Research Note. Prevalence, protein analysis and possible preventive measures against zoonotic anisakid larvae isolated from marine Atherina fish
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    Helminthologia.2015; 52(4): 375.     CrossRef
  • Reconocimiento de los antígenos excretores/secretores de Anisakis tipo i y evolución de la IgE en ratas infectadas experimentalmente
    Magdalena Gómez-Mateos, Adela Valero-López, Teresa de la Rubia-Nieto, María del Carmen Romero-López, Victoriano Díaz-Sáez
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Case Report
A case of acute gastric anisakiasis provoking severe clinical problems by multiple infection
Ji Hun Noh, Bong-Jin Kim, Sun Mee Kim, Mee-Sun Ock, Moo In Park, Ja Young Goo
Korean J Parasitol 2003;41(2):97-100.
Published online June 20, 2003
DOI: https://doi.org/10.3347/kjp.2003.41.2.97

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.

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