Gastroallergic anisakiasis: Findings in 22 patients

López-Serrano, M C; Gómez, Alejandra; Daschner, Álvaro; Moreno-Ancillo, A; Parga, José Manuel Suárez de; Caballero, Teresa; Paredes, Pilar; Cabañas, Rosario

doi:10.1046/j.1440-1746.2000.02153.x

Cited by 72 publications

(36 citation statements)

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“…Allergies to L3 infection have previously been diagnosed by positive skin prick tests, specific IgE production, and total elevation of IgE levels Moreno-Ancillo et al, 1997;Lopez-Serrano et al, 2000;Moneo et al, 2000;Purello-D'Ambrosio et al, 2000). Daschner et al (2002) has elucidated in detail the time course of IgE production in human L3-dependent allergies.…”

Section: Specific Immunoglobulin E Production and Allergy To L3mentioning

confidence: 99%

Immune reactions and allergy in experimental anisakiasis

Cho

Lee

2006

Korean J Parasitol

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Abstract:The third-stage larvae (L3) of the parasitic nematode, Anisakis simplex, have been implicated in the induction of hyperimmune allergic reactions in orally infected humans. In this work, we have conducted a review of an investigation into immune reactions occurring in animals experimentally infected with A. simplex L3. The patterns of serum antibody productions in the experimental animals against excretory-secretory products (ESP) of A. simplex L3 contributed to our current knowledge regarding specific humoral immune reactions in humans. In our review, we were able to determine that L3 infection of experimental animals may constitute a good model system for further exploration of immune mechanisms and allergy in anisakiasis of humans. worldwide (Mattiucci et al., 1997;Shih, 2004;Ugland et al., 2004). Many epidemics have been reported in Japan and Spain (Chai et al., 2005). Increasing reports of L3 infection in fish have been documented in South Korea, in which the consumption of raw marine fish is also popular (Chai et al., 1992;Im et al., 1995;Song et al., 1995Song et al., , 1999. Easy access to endoscopes and enhanced awareness of anisakiasis among clinicians has resulted in better reporting of morbidity resultant from L3 infection. L3 infection induces the production of specific antibodies and cytokines (Kennedy et al., 1988;Daschner et al., 2001;Nieuwenhuizen et al., 2006). Antibodies can be detected 2 weeks after infection, consistent with the time courses associated with other microorganisms. Analyses of specific antibody levels are generally irrelevant to the differential diagnosis of an acute state in cases of L3 infection, because the profound pain associated with L3 penetration begins only a few hours after the consumption of infected raw fish. However, antibody level measurements are helpful both in the differentiation of tumors from the granulomas formed by infiltrating L3 and in investigations of allergic diseases (Gutierrez and Cuellar, 2002;Kim et al., 2006).The production of IgE tends to increase during parasite infections, but the ultimate effects of IgE vary considerably, depending on the host-parasite relationships. Hyperimmune allergic reactions have been closely associated with IgE production. The infection of a parasite into its normal host tends to reduce the development of allergic responses, despite the associated upshift in IgE production (van den Biggelaar et al., 2000;Yazdanbakhsh et al., 2002). By contrast, the infection of T. canis in humans, an abnormal host, induces increased allergic reactions (Sharp and Olson, 1962;Sharghi et al., 2001). A. simplex L3 has also been shown to induce allergic diseases at a high rate, principally due to the fact that humans are not a regular host of this parasite (Audicana et al., 2002;Klimpel et al., 2004).Through investigations of allergic responses to L3 for a period of more than 10 years, several shared features have been identified, which indicate that immune reactions to L3 infection evidence similar patterns in humans and experimental...

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Section: Specific Immunoglobulin E Production and Allergy To L3mentioning

confidence: 99%

Immune reactions and allergy in experimental anisakiasis

Cho

Lee

2006

Korean J Parasitol

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“…Nowadays, however, health authorities and the fishing industry are increasingly becoming aware of the problems caused by these parasites, which affect both human health and the commercial value of the product. Species of the family Anisakidae have acquired importance due to the traumatic effect produced by the third larval stage when it becomes attached to the wall of the human digestive tract (Ooiwa et al 1989, Kikuchi et al 1990, Ishikura et al 1992, Louredo Méndez et al 1997 and to allergic episodes caused by their metabolic antigens following ingestion of the parasitized fish (Mendizábal-Basagoiti 1999, López-Serrano et al 2000, Foti et al 2002. Over the last decade a number of cases of anisakidosis in man have been reported in Europe.…”

Section: Introductionmentioning

confidence: 99%

Anisakis spp. in European hake, Merluccius merluccius (L.) from the Atlantic off north-west Africa and the Mediterranean off southern Spain

Valero

López-Cuello

Benı́tez

et al. 2006

Acta Parasitologica

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We studied the parasitization by Anisakis spp. in European hake (Merluccius merluccius) of 40-52 cm from the Atlantic off north-west Africa and the Mediterranean off southern Spain. Infection parameters differed: The fish from the Atlantic showing a prevalence of 87.97% and a mean intensity of 4.69, while, in those from the Mediterranean, these were 41.27% and 1.73, respectively. In both samples the two-third larval stage types were isolated: Anisakis simplex sensu lato and Anisakis larvae type II, with prevalence of 85.71% and 30.83% in fish from the Atlantic and 41.27% and 1.59% for those from the Mediterranean, respectively. In both samples, the prevalence of larvae in viscera was clearly higher than in the muscle tissue. We also observed an increase in parasitization with increasing host length, those $46 cm having the highest prevalences (94.87% for those from the Atlantic and 58.33% for those from the Mediterranean; p<0.03).

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“…Daschner et al reported a case of a 66-yearold man with severe epigastric pain and urticaria; a total of 20 larvae were removed using upper endoscopy (10). The other previously reported cases also had multiple Anisakis larvae that were endoscopically removed (11,12).…”

Section: Discussionmentioning

confidence: 88%

Multiple Acute Infection by <i>Anisakis</i>: A Case Series

et al. 2016

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The ingestion of raw seafood infected with nematode larvae of the Anisakidae family can lead to gastric anisakiasis. The majority of the infections involve a single larva, however, there have been instances of multiple infection. The incidence rate and the characteristics of multiple infection by Anisakis remain poorly understood. We herein present a case of parasitization by multiple Anisakis larvae and describe 14 cases of multiple parasitization representing the largest reported case series to date. Endoscopists should therefore be aware of the potential for multiple infection by Anisakis and the need for a thorough inspection of all parts of the stomach when encountering such cases.

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Gastroallergic anisakiasis: Findings in 22 patients

Abstract: Anisakis simplex parasitism was the causative agent of allergic and gastric symptoms. Gastroallergic anisakiasis appears to be a relatively common disease, that may have been underdiagnosed.

Cited by 72 publications

References 9 publications

Immune reactions and allergy in experimental anisakiasis

Immune reactions and allergy in experimental anisakiasis

Anisakis spp. in European hake, Merluccius merluccius (L.) from the Atlantic off north-west Africa and the Mediterranean off southern Spain

Multiple Acute Infection by <i>Anisakis</i>: A Case Series

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