Petithory J C, Verrier F, Guyet-Rousset P
Département de Biologie Médicale, Centre Hospitalier E.-Brumpt, Gonesse, France.
Pathol Biol (Paris). 1992 Jan;40(1):47-51.
An eosinophilic granuloma was found in the operative specimen from a patient who underwent colonic resection eleven days after onset of abdominal pain. Upon questioning, the patient reported having eaten raw fish eggs (cod) on the day before the onset of abdominal pain. Colonic localization of this anisakiasis, although more common in Europe than in Japan, is nevertheless infrequent, with only 17 other cases having been published to date. Eosinophil counts rose after 15 days and specific serologic tests became positive after 21 days with titers remaining detectable longer by Western blot (31 months) than by immunoelectrophoresis (2 months). Routine serologic tests for anisakiasis in patients with eosinophilic granulomas of the digestive tract would ensure the correct etiological diagnosis in some cases.
在一名腹痛发作11天后接受结肠切除术的患者的手术标本中发现了嗜酸性肉芽肿。经询问，患者报告在腹痛发作前一天食用了生鱼卵（鳕鱼）。这种异尖线虫病在结肠的定位，虽然在欧洲比在日本更常见，但仍然很少见，迄今为止仅有另外17例病例发表。嗜酸性粒细胞计数在15天后升高，特异性血清学检测在21天后呈阳性，通过蛋白质印迹法（31个月）检测到的滴度比免疫电泳法（2个月）持续时间更长。对消化道嗜酸性肉芽肿患者进行异尖线虫病的常规血清学检测将在某些情况下确保正确的病因诊断。
