关键词: Anisakiasis Cancer screening Case report Esophagogastroduodenoscopy Parasite infections Raw fish eating habit

来  源:   DOI:10.1016/j.idcr.2022.e01635   PDF(Pubmed)

Abstract:
Anisakiasis is a parasitic disease caused by Anisakis simplex and has become an emerging zoonosis as preferences for eating raw or undercooked seafood have become more common. Few case reports of asymptomatic anisakiasis have been published to date. A 79-year-old asymptomatic man underwent esophagogastroduodenoscopy (EGD) for gastric cancer screening. The gastroenterologist diagnosed superficial gastritis without any malignant lesions but found an Anisakis larva while reviewing EGD images. The physician performed a second EGD and removed the larva. The patient reported that he ate the flatfish sashimi for dinner on the day before the first EGD. This case indicates the existence of asymptomatic gastric anisakiasis, indicating that anisakiasis incidence may have previously been underestimated.
摘要:
异尾蛇病是由单纯性异尾蛇引起的寄生虫病,由于对生吃或未煮熟的海鲜的偏好变得越来越普遍,因此已成为一种新兴的人畜共患病。迄今为止,很少有无症状的anisakiasis病例报告发表。一名79岁无症状的男子接受了食管胃十二指肠镜检查(EGD)进行胃癌筛查。胃肠病学家诊断为浅表性胃炎,没有任何恶性病变,但在查看EGD图像时发现了异尖幼虫。医生进行了第二次EGD并取出幼虫。患者报告说,他在第一次EGD的前一天吃了比目鱼生鱼片作为晚餐。这个病例表明存在无症状的胃失联症,表明茴香病的发病率以前可能被低估了。
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