Abstract:
:Anisakiasis or "herring worm disease" is one of the most important parasitic diseases of the gastrointestinal tract in Japan. In 1988 Lorenz and Warzok published 8 cases of intestinal anisakiasis in Eastern Germany. In 1988 Spehn et al. reported a case of gastric anisakiasis in an AIDS patient. Here, we describe a case of gastric anisakiasis in Germany with an impressive serious clinical course. The symptoms--acute abdominal cramps, severe chest pain, diarrhoea, sub-febrile temperatures and leucocytosis--followed 4 h after consumption of raw herring, which was homemade pickled in vinegar. The conventional and the endoscopic ultrasonography showed a thickened gastric wall made of mainly thickened submucosa. The larvae of Anisakis in the gastric mucosa were found and extracted endoscopically. Acute and severe abdominal pain after eating raw fish is an indication for early gastroscopy. The endoscopical extraction of possible larvae is the only effective therapy, as anthelmintics against nematodes (mebendazole, albendazole, thiabendazole) are ineffective.
journal_name
Z Gastroenteroljournal_title
Zeitschrift fur Gastroenterologieauthors
Plath F,Holle A,Zendeh D,Möller FW,Barten M,Reisinger EC,Liebe Sdoi
10.1055/s-2001-11150subject
Has Abstractpub_date
2001-02-01 00:00:00pages
177-80issue
2eissn
0044-2771issn
1439-7803journal_volume
39pub_type
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journal_title:Zeitschrift fur Gastroenterologie
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pub_type: 杂志文章
doi:
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pub_type: 历史文章,杂志文章,评审
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