If Your Uneaten Food Moves, Take It to a Doctor

Lane, CM; Master, Ronald N.; Tietbohl, Ralph H.

doi:10.1001/jama.1988.03410030056021

Cited by 6 publications

(2 citation statements)

References 1 publication

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“…The patient did not remember having eaten any other fish raw or even marinated. Although, currently some cases in which the cause of infection is unknown, the use of microwaves to cook fish may be at fault when cooking time is less than necessary to destroy the larvae, as shown in other reports (Lane et al 1988, Canut et al 1996.…”

Section: Resultsmentioning

confidence: 95%

Acute intestinal anisakiasis in Spain: a fourth-stage Anisakis simplex larva

Rosales

Mascaró

Fernandez

et al. 1999

Mem. Inst. Oswaldo Cruz

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A case of acute intestinal anisakiasis has been reported; a nematode larva being found in the submucosa of the ileum of a woman in Jaén (Spain). The source of infection was the ingestion of raw MATERIALS AND METHODSWe have studied a new case of acute intestinal anisakiasis in Spain. On 28 November 1998, a 46-year-old Spanish woman, lifelong resident of Jaén, was admitted to the emergency room at the Hospital Ciudad de Jaén, where her clinical, radiological and analytical report was compatible with acute appendicitis. She had had during two days acute abdominal pain, diarrhea, meteorism, selective pain palpatation in the right ileum fossa, no nausea, vomit or fever and Blumberg sign negative. The laboratory data showed leukocytosis (13.780/mm 3 ), neutrophilia (80%) and 4% of eosinophils. The rest of the red series, white and biochemical, were normal. Plain radiographs of the abdomen and an electrocardiogram were within normal limits. The clinical diagnosis was acute appendicitis. After a McBurney incision, the appendix was found to be normal, with abundant intraperitoneal exudate and inflammatory induration located in the terminal ileum, which showed a microperforation. A prophylactic appendectomy was performed, followed by a wedge resection of the indurated intestinal zone. The layers of the abdominal wall were cleaned and closed. The indurated zone was opened and, in the submucosa of the terminal ileum, a nematode of 2.5 cm in length was found. The neighbouring tissues were analyzed, and the caecal appendix was found with submucosal sclerolipmatosis, and the inflamed ileum was infiltrated with abundant eosinophils.The removed larva, still moving, were placed in saline solution and fixed in 2.5% (v/v) buffered glutaraldehyde (pH 7.2), and examined first under an optical microscope and later processed and examinded under a scanning electron microscope.+ Corresponding

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Section: Resultsmentioning

confidence: 95%

Acute intestinal anisakiasis in Spain: a fourth-stage Anisakis simplex larva

Rosales

Mascaró

Fernandez

et al. 1999

Mem. Inst. Oswaldo Cruz

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“…For home preparation, fish fillets should be cooked so that the internal temperature reaches 60'C or higher for 10 min (5,20). Thorough heating of the fish dish is essential, since anisakid nematodes are reported to have survived after fish was prepared in a microwave oven (36). Alternatively, seafoods should be frozen at -20'C (temperature of most home freezers) for 3 days; a whole fish weighing 4 to 8 pounds should be frozen at -200C for at least 5 days (5).…”

Section: Immunologic Response To Anisakis Infectionmentioning

confidence: 99%

Anisakiasis

1989

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Anisakiasis is a zoonotic disease caused by the ingestion of larval nematodes in raw seafood dishes such as sushi, sashimi, ceviche, and pickled herring. Symptoms of anisakiasis include abdominal pain, nausea, vomiting, and diarrhea. Because symptoms are vague, this disease is often misdiagnosed as appendicitis, acute abdomen, stomach ulcers, or ileitis. Endoscopic examination with biopsy forceps has facilitated the diagnosis of gastric anisakiasis. Worms can be removed and identified, and a definitive diagnosis can be made. Patients generally recover with no further evidence of disease. Worms can become invasive, however, and migrate beyond the stomach, penetrating the intestine, omentum, liver, pancreas, and probably the lungs. Surgery is often necessary for treatment of invasive anisakiasis. With the increase in popularity of eating lightly cooked or raw fish dishes, the number of cases of anisakiasis may be expected to increase.

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Hot Tubs, Sex, Sushi, and Infectious Diseases

Lorber

1991

Pharmacotherapy

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Over the past 20 years, striking and interesting changes in patterns of diseases have occurred due to transmissible agents. Among them are the recognition of new diseases, new clinical manifestations of old diseases, new ecologic niches for traditional pathogens, and new modes of disease transmission. Implicated causes for these changing patterns include alterations in lifestyle with respect to sexual behavior, leisure activity, and dietary trends, together with the impact of immigration and the effects of medical progress. A review of these changes demonstrates the dynamic nature of medicine, and the impact that societal change can have on disease patterns.

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If Your Uneaten Food Moves, Take It to a Doctor

Cited by 6 publications

References 1 publication

Acute intestinal anisakiasis in Spain: a fourth-stage Anisakis simplex larva

Acute intestinal anisakiasis in Spain: a fourth-stage Anisakis simplex larva

Anisakiasis

Hot Tubs, Sex, Sushi, and Infectious Diseases

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