Noh Ji Hun, Kim Bong- Jin, Kim Sun Mee, Ock Mee- Sun, Park Moo In, Goo Ja Young
Department of Internal Medicine, Kosin Medical College, Busan 602-703, Korea.
Korean J Parasitol. 2003 Jun;41(2):97-100. doi: 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 gastro-endoscopic 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.
据报道，发生了急性胃异尖线虫病并伴有多个异尖线虫幼虫感染。一名居住在韩国釜山的68岁女性，在食用生凤尾鱼约5小时后出现上腹部疼痛并伴有严重呕吐。在胃镜检查中发现并取出了4条穿透胃体中部大弯和胃底胃黏膜的线虫幼虫。第二天，在上半身大弯处又发现了1条线状移动的幼虫。根据其形态，这些蠕虫被鉴定为简单异尖线虫的第三期幼虫。该病例为急性胃异尖线虫病，因多重感染引发了严重的临床问题，是韩国患者中发现的异尖线虫幼虫数量最多的病例。
