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1Institute of Tropical Medicine, College of Medicine, Yonsei University, Seoul 120-752, Korea.
Received June 29, 1995; Accepted July 31, 1995.
Abstract
Human anisakiasis may occur after ingestion of raw marine fish infected with nematode larvae of Anisakidae. Anisakiasis caused by the migration of the larva into the wall of stomach, small intestine and other portion has been reported in Korea. This prospective study was made of all cases referred to parasitological laboratory in Cheju-do between June 1989 and June 1992. Gastric anisakiasis was confirmed if larvae invading the gastric wall were observed by gastrofiberscopy. One hundred and seven cases were diagnosed, most of which were in 30-49 years old. Most of the patients complained acute epigastric pain with history of eating raw marine fish. This symptom usually occurred about 12 hours to 1 day after ingestion of infected marine fish. Edema, erosion or ulcer of the mucosa and hemorrhage from the gastric wall were observed in the involved areas. Ninety larvae removed from the stomach were identified; the larva of Anisakis simplex was the most prevalent species, and the larva of Pseudoterranova decipiens was also detected. The important species of marine fish from which the patients became infected was demonstrated as yellow corvina, sea eel, ling, cuttle fish, yellowtail and others. Five species of marine fish as a possible source of infection were examined, and Anisakis simplex larvae and Pseudoterranova decipiens larvae were collected from the mackerel and rock cod. This study demonstrates that anisakiasis is recognized as a public health problem in Korea.
Figures
Fig. 1 Gastrofiberscopic findings in 5 cases of gastric anisakiasis. Hemorrhage and edematous mucosa with erosion are observed.
Tables
Table 1 Age and sex distribution of anisakiasis cases in the this study
Table 2 Clinical features observed in anisakiasis cases
Table 3 Gastrofiberscopic findings of involved sites of the stomach
Table 4 Measurement of larvae collected from the stomach
Table 5 Identification of worms colledted from the stomach
Table 6 Source of infection observed in anisakiasis cases
Table 8 Summary of th human anisakiasis reported in Korea
References
1.
Ahn MH, et al. Human infection caused by a larva of Anisakis sp. Korean J Parasitol 1988;26:A309.
2.
Asami K, Watanuki T, Sakai H, Imano H, Okamoto R. Two Cases of Stomach Granuloma Caused by Anisakis-like Larval Nematodes in Japan. Am J Trop Med Hyg 1965;14:119–123.
3.
Chai JY, Chu YM, Sohn WM, Lee SH. Larval anisakids collected from the yellow corvina in Korea. Korean J Parasitol 1986;24(1):1–11.
4.
Cho SY, et al. A case of human anisakiasis in Korea. Seoul J Med 1980;21:203–208.
6.
Han DS, et al. J Korean Med Assoc 1988;13:645–650.
7.
Im KI, et al. Yonsei Rep Trop Med 1993;24:39–46.
8.
Im KI, et al. Yonsei Rep Trop Med 1990;21:1–7.
9.
Jang GL, et al. Korean J internal Med 1989;37:403–410.
11.
Jin SY, et al. Korean J Pathol 1987;21
12.
Kagei N, et al. Jpn J Parasitol 1972;21:262–265.
13.
Kim CH, Chung BS, Moon YI, Chun SH. [A case report on human infection with Anisakis sp. in Korea]. Korean J Parasitol 1971;9(1):39–43.
15.
Koyama T, et al. Jpn J Parasitol 1969;18:466–487.
16.
Lee AH, et al. korean J Pathol 1985;19:463–467.
17.
Lee CY, et al. Korean J Med Technologists 1986;18:171–176.
18.
Lee HS, et al. Hunam Sci 1989;13:413–416.
19.
Lee KH, et al. Korean J Internal Med 1981;24:1220–1227.
20.
Al Paik,et al. Korean J Pathol 1984;18:453–456.
21.
Pinkus GS, Coolidge C, Little MD. Intestinal anisakiasis. First case report from North America. Am J Med 1975;59(1):114–120.
22.
Seo BS, Chai JY, Lee SH, Hong ST, Seo JW, Noh SH. A human case infected by the larva of Terranova type A in Korea. Korean J Parasitol 1984;22(2):248–252.
23.
Seol SY, et al. Korean J Gastroenterol 1994;26:17–24.
24.
Smith JW, Wootten R. Anisakis and anisakiasis. Adv Parasitol 1978;16:93–163.
25.
Sohn WN, et al. Inje Med J 1994;15:355–359.
26.
Sohn WM, et al. A human case of gastric anisakiasis by Pseudoterranova decipiens larva. Korean J Parasitol 1994;32:53–56.
27.
Suzuki H, et al. Jpn J Parasitol 1972;21:252–256.
28.
van Thiel PH, et al. Trop Geogr Med 1960;2:97–113.
29.
van Thiel PH, et al. Parasitology 1962;52 suppl:16–17.
30.
Yang DH, et al. Korean J Gastroint Endoscopy 1988;8:133–136.
31.
Yokogawa M, Yoshimura H. Anisakis-like larvae causing eosinophilic granulomata in the stomach of man. Am J Trop Med Hyg 1965;14(5):770–773.
32.
Yokogawa M, Yoshimura H. Clinicopathologic studies on larval anisakiasis in Japan. Am J Trop Med Hyg 1967;16(6):723–728.
33.
Yun YK, et al. Kyungpook Univ Med J 1987;28:224–227.
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