[Anisakiasis of the stomach--a case report from Germany].

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 Gastroenterol

authors

Plath F,Holle A,Zendeh D,Möller FW,Barten M,Reisinger EC,Liebe S

doi

10.1055/s-2001-11150

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

177-80

issue

2

eissn

0044-2771

issn

1439-7803

journal_volume

39

pub_type

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