Arai Toshio, Saito Seisuke, Kinebuchi Takahiro, Nishikawa Koji, Morishima Yasuyuki, Sugiyama Hiromu
Department of Internal Medicine, Furano Kyokai Hospital, Furano, Japan.
Department of Parasitology, National Institute of Infectious Diseases, Tokyo, Japan.
Case Rep Gastroenterol. 2024 Jun 17;18(1):327-332. doi: 10.1159/000539304. eCollection 2024 Jan-Dec.
Anisakiasis is a parasitic disease caused by larvae from anisakid nematodes. In recent years, there has been an increase in cases of anisakiasis, a relatively uncommon medical condition.
A 93-year-old woman with chronic heart failure developed hives and nausea 6 h after eating silver flounder sashimi, leading to suspicion of fish allergy. Despite treatment, symptoms persisted and progressed to abdominal pain. An upper gastrointestinal endoscopy revealed an larva in her stomach, an unusual finding given her age. After endoscopic removal of the living worm, the patient's symptoms were relieved.
A case of atypical anisakiasis in a 93-year-old patient was demonstrated. This case underscores the importance of considering atypical presentations in clinical decision-making.
异尖线虫病是一种由异尖线虫幼虫引起的寄生虫病。近年来，相对罕见的异尖线虫病病例有所增加。
一名93岁患有慢性心力衰竭的女性在食用银鲽生鱼片6小时后出现荨麻疹和恶心，引发了对鱼类过敏的怀疑。尽管进行了治疗，症状仍持续存在并发展为腹痛。上消化道内镜检查发现她的胃内有一条幼虫，鉴于她的年龄，这是一个不寻常的发现。在内镜下取出活虫后，患者的症状得到缓解。
展示了一例93岁患者的非典型异尖线虫病病例。该病例强调了在临床决策中考虑非典型表现的重要性。
