Valero Santiago A, Huguet Casals J, Sanosa Valls J, Malet Casajuana A, García Calderón P A
Inmunolab, Barcelona, Spain.
Allergol Immunopathol (Madr). 1989 Nov-Dec;17(6):331-5.
The Eisenia foetida is an earthworm that is used as fishing bait in river fishing. We report a case of facial angioedema, rhinitis and asthma in an amateur fisherman who used this worm (Eisenia foetida) as fishing bait when fishing in rivers. However, the manifestations of dermo-respiratory hypersensitivity did not arise when he used other fishing bait (Tenibrio molitor and Marphysa sanguinea) in open-sea fishing. "In vivo" and "in vitro" tests using a battery of the usual neumoallergens and food (fish) were negative. Consequently, extracts of Eisenia foetida, Tenibrio molitor and Marphysa sanguinea were prepared. Skin tests, nasal challenge, histamine release curve and levels of specific IgE were positive when using an extract of Eisenia foetida. These parameters, however, were negative for beetle larvae (Tenibrio molitor) and marine worm (Marphysa sanguinea). The allergo-immunological study was also negative for the group of healthy and atopic controls when using these three extracts of fishing bait. The rarity of the allergen responsible for this dermo-respiratory picture stresses the need to include, on occasions, not only insects but also worms in the battery of the usual neumoallergens.
赤子爱胜蚓是一种在河流钓鱼中用作鱼饵的蚯蚓。我们报告了一例业余渔民的病例，他在河流钓鱼时使用这种蚯蚓（赤子爱胜蚓）作为鱼饵后出现了面部血管性水肿、鼻炎和哮喘。然而，当他在公海钓鱼使用其他鱼饵（黄粉虫和多齿围沙蚕）时，并未出现皮肤 - 呼吸道过敏反应。使用一系列常见的呼吸道变应原和食物（鱼）进行的“体内”和“体外”试验均为阴性。因此，制备了赤子爱胜蚓、黄粉虫和多齿围沙蚕的提取物。使用赤子爱胜蚓提取物进行皮肤试验、鼻腔激发试验、组胺释放曲线和特异性IgE水平检测均呈阳性。然而，对于黄粉虫幼虫和多齿围沙蚕，这些参数均为阴性。当使用这三种鱼饵提取物时，健康对照组和特应性对照组的变应原 - 免疫学研究也均为阴性。这种导致皮肤 - 呼吸道症状的变应原较为罕见，这凸显了在常见呼吸道变应原检测中有时不仅要包括昆虫，还要包括蠕虫的必要性。
