Lorenz G
Zentralbl Allg Pathol. 1982;126(5-6):477-82.
We describe 5 own cases of anisakiasis, sometimes called "herring worm disease", which, in our patients, was acquired by the consumption of raw or undercooked herring containing the larvae of the Anisakis nematodes. These cases are apparently the first observed in GDR. Clinically, all patients presented acute abdominal syndromes. On account of stenosing eosinophilic intestinal wall phlegmons associated with focal or diffuse peritonitis therapy included resection of 9 to 20 cm long segments of the small intestine or partial sigmoidectomy. In 2 patients severe complications necessitated relaparotomies. The nematode larvae, belonging to the subfamily Anisakinae, were found burrowed in the intestinal wall. One worm having penetrated the entire wall was found in the abdominal cavity. Appropriate preparation of the fish in industry and household should kill the parasite.
我们描述了5例异尖线虫病病例，该病有时被称为“鲱鱼蠕虫病”，在我们的患者中，是由于食用了含有异尖线虫幼虫的生的或未煮熟的鲱鱼而感染的。这些病例显然是民主德国首次观察到的。临床上，所有患者均表现为急性腹部综合征。由于伴有局灶性或弥漫性腹膜炎的嗜酸性粒细胞性肠壁狭窄性蜂窝织炎，治疗包括切除9至20厘米长的小肠段或部分乙状结肠切除术。2例患者出现严重并发症，需要再次剖腹手术。属于异尖线虫亚科的线虫幼虫被发现钻入肠壁。在腹腔中发现一条穿透整个肠壁的蠕虫。工业和家庭中对鱼进行适当处理应能杀死寄生虫。
