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Multiple acute parasitization by Anisakis simplex.

J Jurado-Palomo1, M C López-Serrano, I Moneo

  • 1Department of Allergology, University Hospital La Paz, Madrid, Spain.

Journal of Investigational Allergology & Clinical Immunology
|October 16, 2010
PubMed
Summary
This summary is machine-generated.

Anisakis hypersensitivity is rising globally. A patient experienced severe symptoms after eating raw fish, with a delayed immune response involving specific immunoglobulin E and eosinophilia.

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Area of Science:

  • Parasitology
  • Immunology
  • Gastroenterology

Background:

  • Anisakis hypersensitivity is a growing global health concern.
  • Modern dietary practices, including consuming raw or undercooked fish, contribute to increased exposure.
  • Understanding parasitic diseases is crucial for public health.

Observation:

  • A patient presented with acute epigastric pain, urticaria (wheals), erythema, and pruritus three hours post-fish ingestion.
  • Endoscopic examination successfully retrieved over 200 Anisakis larvae from the patient's gastrointestinal tract.
  • The patient exhibited a delayed immune response, with specific immunoglobulin E and eosinophilia.

Findings:

  • Specific immunoglobulin E and eosinophilia levels peaked around day 18 after exposure.
  • These immune markers gradually decreased over a 17-month follow-up period.
  • Only eosinophilia levels eventually returned to normal limits within the observation timeframe.

Implications:

  • This case highlights the complex and potentially delayed immune responses in Anisakis hypersensitivity.
  • It underscores the importance of considering Anisakis infection in patients with gastrointestinal symptoms after fish consumption.
  • Further research into the immunopathogenesis of Anisakis allergy is warranted.