Manifestaciones digestivas de la anisakiasis: descripción de 42 casos

Quijada, S. González; Escudero, R González; García, Lara Arias; Martín, Ángela Hernández; Serrano, Jordi; Fernández, E Corral

doi:10.1157/13077114

Cited by 32 publications

(13 citation statements)

References 10 publications

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“…Noticeable cases of anisakiosis and allergic reactions to Anisakis reported in Spain have increased dramatically in the last decade. One of the main risk factor described is the ingestion of homemade raw anchovies as "boquerones en vinagre" (i.e., raw anchovies in vinegar, Engraulis encrasicolus), (Rubio et al, 2000;López-Serrano et al, 2000;Valiñas et al, 2001;Repiso-Ortega et al, 2003;Alonso-Gómez et al, 2004;González-Quijada et al, 2005;Del Rey Moreno et al, 2008;Puente et al, 2008), a very popular dish in Spain and other Mediterranean countries. In a very recent work by Bao et al (2017), a QRA model was developed for the anchovy value chain, and the number of annual anisakiasis cases requiring medical attention was predicted between 7700 and 8320, suggesting that previously reported figures of 500 anisakiosis per year in Europe (Arizono et al, 2012) or 20 cases on average per Europe country per year (D'amico et al, 2014) are a considerable underestimate.…”

Section: Introductionmentioning

confidence: 99%

Re-evaluation of anchovies ( Engraulis encrasicolus ) as an important risk factor for sensitization to zoonotic nematodes in Spain

et al. 2018

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Previous clinical studies pointed out the consumption of raw Engraulis encrasicolus in vinegar ("boquerones") as the main potential risk source for anisakiosis and IgE sensitization to Anisakis in Spain. In a recent work that developed a quantitative risk assessment (QRA) model for the anchovy value chain in Spain, the number of predicted anisakiosis cases requiring medical attention was reported to be about 8000 per year. Conversely, most epidemiological surveys for this fish species taken from the Spanish markets showed parasite-free fish lots or parasite prevalence around 10%. We analyzed 956 anchovies collected on board from Spanish NE Atlantic grounds to re-evaluate the importance of this species as a potential source of risk exposure to zoonotic and allergy diseases. Epidemiological results revealed an overall mean prevalence for zoonotic nematodes (genera Anisakis and Hysterothylacium) of 64.33% (14.75% in the flesh), ranging up to 87% (28.65% in the flesh) in one of the lots, representing the highest values ever reported for this species in any EU fish production value chain. This finding is of public health concern in Spain considering its traditional raw consumption as homemade "boquerones" in vinegar. An enhanced risk communication focus on control measures may clearly contribute to avoid this biohazard in seafood.

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Section: Introductionmentioning

confidence: 99%

Re-evaluation of anchovies ( Engraulis encrasicolus ) as an important risk factor for sensitization to zoonotic nematodes in Spain

et al. 2018

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“…Anchovies in particular are known to have the highest prevalence (P) of Anisakis among fish species, and they are very commonly used in certain raw fish dishes in the Mediterranean area (46). Most Spanish cases of anisakiasis have indeed been blamed on the consumption of boquerones en vinagre, and in Italy consumption of acciughe marinate is the main cause of this disease (8,15,16,22,25,32,33,35,47). This increasingly widespread combination of old and new culinary habits has meant that the probability of anisakids being ingested has increased, even in areas where raw fish was not part of the traditional diet.…”

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confidence: 99%

Prevalence of Anisakis spp. and Hysterothylacium spp. Larvae in Teleosts and Cephalopods Sampled from Waters off Sardinia

Angelucci¹,

Meloni²,

Merella

et al. 2011

Journal of Food Protection

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A study was carried out on the presence of Anisakis and Hysterothylacium larvae in fish and cephalopods caught in Sardinian waters. A total of 369 specimens of 24 different species of teleosts and 5 species of cephalopods were collected from different fishing areas of Sardinia. Larvae were detected and isolated by both visual inspection and enzymatic digestion. These methods allowed Anisakis type I and type II third-stage larvae and Hysterothylacium third- and fourth-stage larvae to be detected. The prevalence, mean intensity, and mean abundance were calculated. The results obtained showed the highest prevalence of Anisakidae in Zeus faber (100%) and of Anisakis in Micromesistius poutassou (87.5%). The highest prevalence of Anisakis type I larvae was in M. poutassou (81.2%), and that of Anisakis type II larvae was in Todarodes sagittatus (20%). The highest values for prevalence, mean intensity, and mean abundance for Hysterothylacium were found in Z. faber. These prevalences and the mean intensity and abundance were higher than those reported by different authors in other Mediterranean areas. This may be because the enzymatic digestive method used in this research resulted in higher recovery levels. The data suggest that Sardinia may be a high-risk area for zoonotic diseases and that measures such as information campaigns, aimed at both sanitary service personnel and consumers, should be employed to limit the spread of such zoonosis.

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“…It may be accompanied by clinical and laboratory signs of allergy, including moderate eosinophilia [61, 62]. Anisakiasis has acquired the status of an “emergent disease” [63].…”

Section: Resultsmentioning

confidence: 99%

A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

et al. 2017

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BackgroundBlood eosinophilia is a common laboratory abnormality, and its characterization frequently represents a quandary for primary care physicians. Consequently, in France, specialists and particularly hematologists, often must investigate patients who present with blood eosinophilia that often, but not always, occurs because of allergic causes. Both the Departments of Hematology and Parasitology at Toulouse University Hospitals established a collaboration to rule out allergic causes of eosinophilia, particularly helminthiases, prior to initiating more sophisticated investigations.MethodsSince 2004, the authors employed the same protocol to investigate eosinophilic outpatients who attended the clinic of Parasitology at Toulouse University Hospitals, and they reported the performance of this diagnostic procedure that was designed to be rapid (no hospitalization required) and only moderately expensive.ResultsA total of 406 patients who presented with blood eosinophilia greater than 0.5 (×109, giga cells per litter, G/L) had an allergic etiology in 350 (86.2%) cases. Among the remaining 56 subjects, 17 did not undergo a follow-up and 39 were referred to another specialized department, mostly Hematology. However, only 21 patients attended then were subsequently investigated. Non-allergic causes of eosinophilia, including 3 cases of the lymphoid variant of hypereosinophilic syndrome and 2 cases of myeloproliferative disorder, were identified in 14 patients, whereas 7 remained diagnosed as having idiopathic eosinophilia.ConclusionThis study underlines the need to investigate patients presenting with even moderate blood eosinophilia. The work-up that was employed appears to be efficient and versatile and may be used by any medical specialist, such as in hematology, infectious disease, or internal medicine departments, who needs to investigate eosinophilic patients and should initially rule out any etiology of allergic eosinophilia.

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Manifestaciones digestivas de la anisakiasis: descripción de 42 casos

Cited by 32 publications

References 10 publications

Re-evaluation of anchovies ( Engraulis encrasicolus ) as an important risk factor for sensitization to zoonotic nematodes in Spain

Re-evaluation of anchovies ( Engraulis encrasicolus ) as an important risk factor for sensitization to zoonotic nematodes in Spain

Prevalence of Anisakis spp. and Hysterothylacium spp. Larvae in Teleosts and Cephalopods Sampled from Waters off Sardinia

A diagnostic protocol designed for determining allergic causes in patients with blood eosinophilia

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