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[Morphological changes of anisakiasis]
Summary
Anisakiasis, or herring worm disease, is caused by eating raw or undercooked fish infected with Anisakis nematodes. This report details five cases presenting acute abdominal symptoms, requiring surgical intervention.
Area of Science:
- Gastroenterology
- Parasitology
- Infectious Diseases
Background:
- Anisakiasis is a parasitic infection caused by Anisakis nematodes.
- It is commonly acquired through the consumption of raw or undercooked seafood.
Observation:
- Five cases of anisakiasis were observed, likely the first in the GDR.
- Patients presented with acute abdominal syndromes, including stenosing eosinophilic intestinal wall phlegmons and peritonitis.
Findings:
- Surgical intervention, such as intestinal resection or sigmoidectomy, was necessary for treatment.
- Anisakis nematode larvae were found embedded in the intestinal wall, with one penetrating the abdominal cavity.
Implications:
- Proper fish preparation in both industrial and domestic settings is crucial to prevent Anisakis infections.
- Early diagnosis and surgical management are vital for patients with severe anisakiasis complications.