Shimamura Yuto, Ishii Naoki, Ego Mai, Nakano Kaoru, Ikeya Takashi, Nakamura Kenji, Takagi Koichi, Fukuda Katsuyuki, Fujita Yoshiyuki
Department of Gastroenterology, St. Luke's International Hospital, Japan.
Intern Med. 2016;55(8):907-10. doi: 10.2169/internalmedicine.55.5628. Epub 2016 Apr 15.
The ingestion of raw seafood infected with nematode larvae of the Anisakidae family can lead to gastric anisakiasis. The majority of the infections involve a single larva, however, there have been instances of multiple infection. The incidence rate and the characteristics of multiple infection by Anisakis remain poorly understood. We herein present a case of parasitization by multiple Anisakis larvae and describe 14 cases of multiple parasitization representing the largest reported case series to date. Endoscopists should therefore be aware of the potential for multiple infection by Anisakis and the need for a thorough inspection of all parts of the stomach when encountering such cases.
摄入感染了异尖科线虫幼虫的生海鲜可导致胃异尖线虫病。大多数感染涉及单个幼虫,然而,也有多次感染的情况。对于异尖线虫多次感染的发病率和特征仍知之甚少。我们在此报告一例由多条异尖线虫幼虫寄生的病例,并描述了14例多次寄生病例,这是迄今为止报告的最大病例系列。因此,内镜医师在遇到此类病例时应意识到异尖线虫多次感染的可能性以及对胃的所有部位进行全面检查的必要性。