Kołodziejczyk Lidia, Szostakowska Beata, Sobecka Ewa, Szczucki Krzysztof, Stankiewicz Kamil
Department of Biology and Medical Parasitology, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Department of Tropical Parasitology, Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdańsk, Powstania Styczniowego 9B, 81-519 Gdynia, Poland.
Parasitol Int. 2020 Jun;76:102073. doi: 10.1016/j.parint.2020.102073. Epub 2020 Feb 8.
Consumption of raw or inadequately processed marine fish may result in anisakidosis - a zoonotic disease caused by larvae of the parasitic nematodes of the family Anisakidae (anisakiasis when caused by members of the genus Anisakis (Nematoda: Anisakidae)), commonly found in a variety of marine fish species all over the world. Most cases of anisakidosis have been detected in the residents of Japan and South Korea, which results from the tradition of eating raw and semi-raw fish dishes. However, the disease is now increasingly often diagnosed in other parts of the world, including Europe (mainly in Spain and Italy). In Poland, no cases of human infection with anisakid nematodes have been detected so far. In this study, we report the first case of gastric anisakiasis in Poland, in a 59-year-old female patient, after eating raw Atlantic salmon (Salmo salar). The parasite was identified as the third-stage larva of Anisakis simplex sensu stricto on the basis of morphology and molecular analysis. The larva was still alive and causing pain until it was removed, which occurred more than 5 weeks after infection. The described case prove that anisakiasis should be considered as a potential cause of gastrointestinal tract ailments following the consumption of seafood in countries where no cases of this zoonosis have been reported to date.
食用生的或加工不充分的海鱼可能会导致异尖线虫病——一种由异尖线虫科寄生线虫的幼虫引起的人畜共患病（由异尖线虫属（线虫纲：异尖线虫科）的成员引起时称为异尖线虫病），这种线虫在世界各地的多种海鱼中普遍存在。大多数异尖线虫病病例在日本和韩国居民中被发现，这是由于食用生鱼和半生鱼菜肴的传统。然而，现在世界其他地区，包括欧洲（主要是西班牙和意大利），这种疾病的诊断也越来越频繁。在波兰，迄今为止尚未检测到人类感染异尖线虫的病例。在本研究中，我们报告了波兰首例胃异尖线虫病病例，患者为一名59岁女性，在食用生大西洋鲑鱼（Salmo salar）后发病。基于形态学和分子分析，该寄生虫被鉴定为简单异尖线虫狭义种的三期幼虫。该幼虫在感染后5周多仍存活并引起疼痛，直到被取出。所述病例证明，在迄今尚未报告有人畜共患病病例的国家，食用海鲜后，异尖线虫病应被视为胃肠道疾病的潜在病因。
