Parasites, Hosts and Diseases

"anisakiasis"

Case Report

Clinical and Endoscopic Features of Colonic Anisakiasis in Korea: Sae Kyung Joo, Ji Won Kim, Byeong Gwan Kim, Won Kim, Jae Kyung Lee, Kook Lae Lee; Korean J Parasitol 2019;57(4):411-416.
Published online August 31, 2019; DOI: https://doi.org/10.3347/kjp.2019.57.4.411

Abstract
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To analyze the clinical and endoscopic features of colonic anisakiasis. A retrospective chart review of 20 patients with colonic anisakiasis, who were diagnosed by colonoscopy at 8 hospitals between January 2002 and December 2011, was performed. Patients’ mean age was 53.6±10.74 years. Seventy percent patients were men. Acute abdominal pain was a common symptom that mostly developed within 48 hr after the ingestion of raw fish, and which lasted for 1-28 days. Sixty percent patients had ingested raw fish before the diagnosis of colonic anisakiasis and 40% patients were incidentally found to have colonic anisakiasis during the screening colonoscopies. Leukocytosis and eosinophilia were each found in 20% of the patients. In all patients who underwent colonoscopy, the worms were removed with biopsy forceps, except in 1 case, and a definite diagnosis of anisakiasis was made. In some cases of colonic anisakiasis, colonoscopy may be helpful in the diagnosis and treatment to avoid surgical intervention.

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HOST SPECIFICITY, INFECTION DYNAMICS, AND ALLERGENICITY IN Anisakis SPP. INFESTATION: A REVIEW
RUO YI LAM , MING SHE SEE , FAIZAH SHAROM-HARRISON, HAZLINA AHAMAD ZAKERI, NOR OMAIMA HARUN
Universiti Malaysia Terengganu Journal of Undergraduate Research.2024; 6(2): 62. CrossRef
Intestinal anisakiasis: CT imaging findings—a 10-year descriptive study in a single center
Zhao Hui Chen Zhou, Gerardo Ayala Calvo, Elena Martínez Chamorro, Laín Ibáñez Sanz, Raquel Sanz de Lucas, Susana Borruel Nacenta
Emergency Radiology.2023; 30(5): 621. CrossRef
Annual Report on the External Quality Assessment Scheme for Clinical Parasitology in Korea (2020–2021)
Jihu Jeon, Eun Jeong Won, Kyung Hwan Byeon, Yu Jeong Lee, Moon-Ju Kim, Myung Geun Shin, Jong Hee Shin
Journal of Laboratory Medicine and Quality Assurance.2022; 44(4): 185. CrossRef
Anisakiosis colónica, un caso infrecuente caracterizado molecularmente mediante PCR-RFLP
Belén González-Bertolín, Nerea Hernanz-Ruiz, Ramón Pérez-Tanoira, María Jesús Perteguer-Prieto
Enfermedades Infecciosas y Microbiología Clínica.2021; 39(6): 308. CrossRef
Colonic anisakiasis, an infrequent case molecularly characterized by PCR-RFLP
Belén González-Bertolín, Nerea Hernanz-Ruiz, Ramón Pérez-Tanoira, María Jesús Perteguer-Prieto
Enfermedades infecciosas y microbiologia clinica (English ed.).2021; 39(6): 308. CrossRef
Endoscopic submucosal dissection of colonic anisakiasis
Diego Martínez-Acitores, Amaia Arrubla Gamboa, Eduardo Albéniz Arbizu, Alba Larrea Ramírez
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef

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Brief Communication

Molecular Identification of Anisakis Larvae Extracted by Gastrointestinal Endoscopy from Health Check-up Patients in Korea: Hyemi Song, Bong-Kwang Jung, Jaeeun Cho, Taehee Chang, Sun Huh, Jong-Yil Chai; Korean J Parasitol 2019;57(2):207-211.
Published online April 30, 2019; DOI: https://doi.org/10.3347/kjp.2019.57.2.207

Anisakiasis is a zoonotic disease induced by anisakid nematodes, and endoscopic inspection is used for a diagnosis or remedy for it. Anisakis simplex, Anisakis physeteris, and Pseudoterranova decipiens had been reported to be the major species causing human infections, particularly, in Japan. However, in Korea, recent studies strongly suggested that Anisakis pegreffii is the major species of human infections. To support this suggestion, we collected anisakid larvae (n=20) from 20 human patients who were undergone gastrointestinal endoscopy at a health check-up center in Korea, and molecular identification was performed on the larvae using PCR-RFLP analysis and gene sequencing of rDNA ITS regions and mtDNA cox2. In addition, anisakid larvae (n=53) collected from the sea eel (Astroconger myriaster) were also examined for comparison with those extracted from humans. The results showed that all human samples (100%) were identified as A. pegreffii, whereas 90.7% of the samples from the sea eel were A. pegreffii with the remaining 9.3% being Hysterothylacium aduncum. Our study confirmed that A. pegreffii is the predominant species causing human anisakiasis in Korea, and this seems to be due to the predominance of this larval type in the fish (sea eels) popularly consumed by the Korean people. The possibility of human infection with H. aduncum in Korea is also suggested.

Citations

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Risk Factors of Anisakidosis at the Global Level: A Review
Yosuke Fujisawa, Diane P. Barton, Shokoofeh Shamsi
Current Clinical Microbiology Reports.2025;[Epub] CrossRef
Alterations in immunized antigens of Anisakis pegreffii by ampicillin-induced gut microbiome changes in mice
Myungjun Kim, Jun Ho Choi, Myung-hee Yi, Singeun Oh, Tai-Soon Yong, Ju Yeong Kim
Parasites, Hosts and Diseases.2024; 62(3): 351. CrossRef
Genetic analyses of Anisakis pegreffii (Nematoda: Anisakidae) from the East Asian finless porpoise Neophocaena asiaeorientalis sunameri (Cetacea: Phocoenidae) in Korean waters
Sunmin Kim, Jong Yoon Jeon, Kyunglee Lee, Hyunjoo Lee, Han Chan Park, Kyung Eun Lee, Hang Lee, Sung Bin Lee, Sang Wha Kim, Se Chang Park, Seongjun Choe, Heejeong Youn
Parasitology Research.2024;[Epub] CrossRef
Phylogenetic and phylogeographic analyses of Anisakis simplex sensu stricto (Nematoda: Anisakidae) from the common minke whale in Korean waters
Sunmin Kim, Bom Sok Lee, Seongjun Choe
Parasites, Hosts and Diseases.2023; 61(3): 240. CrossRef
Sensitivity of candling as routine method for the detection and recovery of ascaridoids in commercial fish fillets
E. Mercken, I. Van Damme, B. Šoba, S. Vangeenberghe, A. Serradell, T. De Sterck, J. P. L. Lumain, S. Gabriël
Scientific Reports.2022;[Epub] CrossRef
Intraspecific Genetic Variation of Anisakis typica in Indian Mackerel Caught from the Gulf of Thailand, Samut Songkhram Province
Tanawat Chaiphongpachara, Poom Adisakwattana, Nantana Suwandittakul, Daiji Endoh
The Scientific World Journal.2022; 2022: 1. CrossRef
Anisakiasis Annual Incidence and Causative Species, Japan, 2018–2019
Hiromu Sugiyama, Mitsuko Shiroyama, Ikuyo Yamamoto, Takashi Ishikawa, Yasuyuki Morishima
Emerging Infectious Diseases.2022; 28(10): 2105. CrossRef
Identification and genetic characterization of Contracaecum sp. (Nematoda: Anisakidae) from China
Qingxun ZHANG, Meng MENG, Chengmei HUANG, Shengyong FENG, Jie LIU, Yan TANG, Yu FAN, Guohui YUAN, Shuyi HAN, Jing LUO, Baohua ZHAO, Hongxuan HE
Integrative Zoology.2021; 16(6): 929. CrossRef
Anisakis pegreffii Extract Induces Airway Inflammation with Airway Remodeling in a Murine Model System
Jun Ho Choi, Ju Yeong Kim, Myung-hee Yi, Myungjun Kim, Tai-Soon Yong, Kalman Imre
BioMed Research International.2021;[Epub] CrossRef
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Vipavinee Cheypanya, Pheravut Wongsawad, Chalobol Wongsawad, Nattawadee Nantarat
Asian Pacific Journal of Tropical Medicine.2021; 14(5): 214. CrossRef
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E. Mercken, I. Van Damme, A. Serradell, S. Gabriël
International Journal of Food Microbiology.2020; 318: 108456. CrossRef
Occurrence and molecular identification of Anisakis larval type 1 (Nematoda: Anisakidae) in marketed fish in Egypt
Eman Mostafa, Marwa Omar, Shimaa. S. Hassan, Mohamed Samir
Journal of Parasitic Diseases.2020; 44(3): 536. CrossRef
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E. Mercken, I. Van Damme, S. Vangeenberghe, A. Serradell, T. De Sterck, J.P.L. Lumain, S. Gabriël
International Journal of Food Microbiology.2020; 327: 108657. CrossRef
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Stefano D’Amelio, Fabrizio Lombardo, Antonella Pizzarelli, Ilaria Bellini, Serena Cavallero
Genes.2020; 11(7): 801. CrossRef
Status of common parasitic diseases in Korea in 2019
Sun Huh
Journal of the Korean Medical Association.2019; 62(8): 437. CrossRef
Parasitic infections and medical expenses according to Health Insurance Review Assessment claims data in South Korea, 2011–2018
Ju Yeong Kim, Myung-hee Yi, Tai-Soon Yong, Guilherme L. Werneck
PLOS ONE.2019; 14(11): e0225508. CrossRef
Anisakid Larvae from Anchovies in the South Coast of Korea
Taehee Chang, Bong-Kwang Jung, Sooji Hong, Hyejoo Shin, Jeonggyu Lee, Laddawan Patarwut, Jong-Yil Chai
The Korean Journal of Parasitology.2019; 57(6): 699. CrossRef

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Case Report

Anisakiasis: Report of 15 Gastric Cases Caused by Anisakis Type I Larvae and a Brief Review of Korean Anisakiasis Cases: Woon-Mok Sohn, Byoung-Kuk Na, Tae Hyo Kim, Tae-Joon Park; Korean J Parasitol 2015;53(4):465-470.
Published online August 25, 2015; DOI: https://doi.org/10.3347/kjp.2015.53.4.465

Abstract
PDF

The present study was performed to report 15 anisakiasis cases in Korea and to review the Korean cases reported in the literature. Total 32 Anisakis type I larvae were detected in the stomach of 15 patients by the endoscopy. Single worm was detected from 12 cases, and even 9 larvae were found from 2 cases. Epigastric pain was most commonly manifested in almost all cases, and hemoptysis and hematemesis were seen in 1 case each. Symptom manifestations began at 10-12 hr after eating fish in 73.3% cases. Endoscopy was performed 1-2 days after the symptom onset in most cases. The common conger, Conger myriaster, was the probable infection source in 7 cases. In the review of Korean anisakiasis cases, thus far, total 645 cases have been reported in 64 articles. Anisakis type I larva was the most frequently detected (81.3%). The favorable infection site of larvae was the stomach (82.4%). The common conger was the most probable source of human infections (38.6%). Among the total 404 cases which revealed the age and sex of patients, 185 (45.8%) were males, and the remaining 219 (54.2%) were female patients. The age prevalence was the highest in forties (34.7%). The seasonal prevalence was highest in winter (38.8%). By the present study, 15 cases of gastric anisakiasis are added as Korean cases, and some epidemiological characteristics of Korean anisakiasis were clarified.

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Brief Communication

Parasitic Infections Based on 320 Clinical Samples Submitted to Hanyang University, Korea (2004-2011): Sung-Chul Choi, Soo-Young Lee, Hyun-Ouk Song, Jae-Sook Ryu, Myoung-Hee Ahn; Korean J Parasitol 2014;52(2):215-220.
Published online April 18, 2014; DOI: https://doi.org/10.3347/kjp.2014.52.2.215

Abstract
PDF

We analyzed 320 clinical samples of parasitic infections submitted to the Department of Environmental Biology and Medical Parasitology, Hanyang University from January 2004 to June 2011. They consisted of 211 nematode infections, 64 trematode or cestode infections, 32 protozoan infections, and 13 infections with arthropods. The nematode infections included 67 cases of trichuriasis, 62 of anisakiasis (Anisakis sp. and Pseudoterranova decipiens), 40 of enterobiasis, and 24 of ascariasis, as well as other infections including strongyloidiasis, thelaziasis, loiasis, and hookworm infecions. Among the cestode or trematode infections, we observed 27 cases of diphyllobothriasis, 14 of sparganosis, 9 of clonorchiasis, and 5 of paragonimiasis together with a few cases of taeniasis saginata, cysticercosis cellulosae, hymenolepiasis, and echinostomiasis. The protozoan infections included 14 cases of malaria, 4 of cryptosporidiosis, and 3 of trichomoniasis, in addition to infections with Entamoeba histolytica, Entamoeba dispar, Entamoeba coli, Endolimax nana, Giardia lamblia, and Toxoplasma gondii. Among the arthropods, we detected 6 cases of Ixodes sp., 5 of Phthirus pubis, 1 of Sarcoptes scabiei, and 1 of fly larva. The results revealed that trichuriasis, anisakiasis, enterobiasis, and diphyllobothriasis were the most frequently found parasitosis among the clinical samples.

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Case Reports

A Case of Anisakidosis Caused by Pseudoterranova decipiens Larva: Hak Kyun Na, Min Seo, Jong-Yil Chai, Eun Kyoung Lee, Soung Min Jeon; Korean J Parasitol 2013;51(1):115-117.
Published online February 18, 2013; DOI: https://doi.org/10.3347/kjp.2013.51.1.115

Abstract
PDF

Pseudoterranova decipiens larva is a rare cause of anisakiasis. Indeed, prior to the present study, there had been only 12 reports of larval P. decipiens infection in the Republic of Korea. In June 2011, an anisakid larva, 32.1 mm in length and 0.88 mm in width, and finally identified as the third stage larva of P. decipiens owing to the presence of an intestinal cecum but lacking ventricular appendage, was discovered in a 61-year-old woman during the course of endoscopy executed as a part of routine physical examinations. The patient had eaten raw a rockfish 13 hr prior to the endoscopy, but showed no symptoms of anisakiasis. This paper is the 13th report of P. decipiens infection in Korea.

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A case of acute gastric anisakiasis provoking severe clinical problems by multiple infection: Ji Hun Noh, Bong-Jin Kim, Sun Mee Kim, Mee-Sun Ock, Moo In Park, Ja Young Goo; Korean J Parasitol 2003;41(2):97-100.
Published online June 20, 2003; DOI: https://doi.org/10.3347/kjp.2003.41.2.97

Abstract
PDF

Acute gastric anisakiasis with multiple anisakid larvae infection is reported. A 68-year-old woman residing in Busan, Korea, had epigastric pain with severe vomiting about 5 hours after eating raw anchovies. Four nematode larvae penetrating the gastric mucosae in the great curvature of the middle body and fundus were found and removed during gasteroendoscopic examination. Another one thread-like moving larva was found in the great curvature of upper body on the following day. On the basis of their morphology, the worms were identified as the 3rd stage larvae of Anisakis simplex. This case is acute gastric anisakiasis provoking severe clinical problems by the multiple infection and the greatest number of anisakid larvae found in a patient in Korea.

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Brief Communication

Analysis of Parasitic Diseases Diagnosed by Tissue Biopsy Specimens at KyungHee Medical Center (1984-2005) in Seoul, Korea: Choi, Won Hyung , Chu, Jong Phil , Jiang, Meihua , Lee, Yun Sik , Kim, Bum Shik , Kim, Deog Gon , Park, Yong Koo; Korean J Parasitol 2010;48(1):85-88.; DOI: https://doi.org/10.3347/kjp.2010.48.1.85

Abstract
PDF

We analyzed parasitic diseases diagnosed by tissue biopsy specimens at KyungHee Medical Center (KMC) from 1984 to 2005. The total number of parasite infection cases was 150 (0.07%) out of the total 211,859 biopsy specimens submitted for histopathological examinations. They consisted of 62 cysticercosis, 23 sparganosis, 16 paragonimiasis, 15 amebiasis, 11 anisakiasis, 11 clonorchiasis, 3 ascariasis, 2 scabies, 2 enterobiasis, 2 trichuriasis, 1 leishmaniasis, 1 taeniasis, and 1 thelaziasis. Out of 62 cysticercosis cases, 55 were detected in subcutaneous tissues or the central nerve system. Eighteen out of 23 sparganosis cases were involved in muscular and subcutaneous tissues. In most anisakiasis cases, the involved organ was the stomach. The lung and the pleura were the most common site of paragonimiasis. The incidence of parasitic diseases during the first 5 years (1984-1988) was the highest of all observed periods. After 1989, similar incidences were shown throughout the period. Whereas cysticercosis was diagnosed in 34 cases during 1984-1988, no case has been diagnosed since 2000. In the case of sparganosis, the chronological incidence was almost uniform throughout the period 1984-2005. Paragonimiasis showed a similar tendency to cysticercosis. In gender and age distribution of parasitic diseases, men showed higher incidence rates than females, and the age groups of the 40s or older indicated higher infection frequencies than other age groups. Therefore, these results are a significant report to appear the tendency of human parasitic disease diagnosed by tissue biopsy in association with parasitosis at KMC in Seoul.

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