Anisakiasis

茴香病
  • 文章类型: Journal Article
    Anisakis simplex is a fish-borne zoonotic parasite. Although this parasite has been known since the 19th century, publications on anisakiasis have increased in recent years. Despite this, this subject has yet to be well studied by bibliometric analysis. This study was conducted to show the research points and trends of A. simplex.
    The Web of Science Core Collection (WoSCC) was mined for articles on A. simplex. The VOSviewer software visually evaluated countries, institutions, authors, references, and keywords in this field.
    A total of 1362 publications were included in this bibliometric analysis. The included publications were published between 1970 and 2022 from 79 countries, mainly from Spain (n=456, 33.48%). The most prolific year was 2020 (n=74). The research area that attracted the most publications was parasitology (n=452), while the most productive author in this area was Cuellar C (n=53). \"Anisakis simplex\", \"Anisakis\" and \"anisakiasis\" were the most used three keywords.
    The number of publications on anisakiasis has been increasing over time, suggesting that A. simplex is becoming an increasingly important disease worldwide. Research cooperation should be established between researchers from developed and developing countries to determine effective control strategies for anisakiasis.
    Anisakis simplex, balık kaynaklı zoonotik bir parazittir. Bu parazit 19. yüzyıldan beri bilinmesine rağmen son yıllarda anisakiasis ile ilgili yayınlar artmıştır. Ancak, bu konuyla ilgili herhangi bir bibliyometrik analiz yapılmamıştır. Bu çalışma, A. simplex’in araştırma noktalarını ve eğilimlerini göstermek amacıyla yapılmıştır.
    Web of Science Core Collection (WoSCC) veri tabanında A. simplex ile ilgili makaleler taranmıştır. VOSviewer yazılımı kullanılarak, A. simplex ile ilgili çalışma yapan ülkeler, kurumlar, yazarlar, referanslar ve anahtar kelimeler görsel olarak değerlendirilmiştir.
    Bu bibliyometrik analize toplam 1362 yayın dahil edilmiştir. Dahil edilen yayınlar 1970 ile 2022 yılları arasında, başta İspanya (n=456, %33,48) olmak üzere 79 ülkeden yayınlanmıştır. En fazla yayın yapılan yıl 2020 (n=74) yılı olmuştur. En çok yayın yapılan araştırma alanı parazitoloji (n=452) olurken, bu alandaki en üretken yazar Cuellar C (n=53) olmuştur. “Anisakis simplex”, “Anisakis” ve “anisakiasis” yayınlarda en çok kullanılan üç anahtar kelime olmuştur.Enfestasyonların yaş, mevsim ve cinsiyet ile ilişkisi istatistiki yönden anlamlı bulunmamıştır.
    Anisakiasis ile ilgili yayınların sayısının zaman içinde artması, A. simplex’in dünya genelinde giderek önem kazandığını göstermektedir. Anisakiasis için etkili kontrol stratejilerinin belirlenmesi amacıyla gelişmiş ülkelerdeki araştırmacılar ile gelişmekte olan ülkeler arasında araştırma iş birliği kurulmalıdır.
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  • 文章类型: Journal Article
    目的:本研究的目的是回顾性回顾10年期间CT诊断的肠anisakiasis病例,并评估与该疾病相关的影像学表现。
    方法:这项回顾性研究包括2011年6月至2021年12月期间在单个机构进行腹盆腔CT(CT)检查的71例临床怀疑肠肛门病的患者。为了识别案件,我们使用了医学术语搜索引擎和医院的放射学病例数据库。从医疗记录中收集临床信息。一位具有五年经验的放射科医生回顾并分析了CT图像,以确定肠anisakiasis的特征性发现。
    结果:本研究纳入了47例确诊的肠anisakiasis病例。患者的平均年龄为52岁(范围18-87岁),男性比女性更频繁(26:21)。所有患者都报告摄入了生鱼,最常见的是醋中的凤尾鱼(30/47,63.8%)。腹痛是主要症状,伴有恶心,呕吐,偶尔发烧。最常见的临床怀疑是肠梗阻(14/47,29,8%)和阑尾炎(10/47,21,3%),而在影像学检查之前,仅有2例怀疑肠anisakiasis。CT显示所有患者肠壁增厚伴粘膜下水肿,主要累及回肠(43/47,91,5%),通常在相对较长的段中(平均17.5厘米,范围10-30厘米)。16例(34%)同时累及多个肠段。肠梗阻伴近端环扩张(33/47,70,2%),腹水(45/47,95,7%),肠系膜脂肪横纹(32/47,68,1%)也是常见发现。
    结论:这项研究证明了计算机断层扫描在提示诊断肠anisakiasis方面的价值。通常表现为非特异性临床表现。提供诊断线索的特征性CT表现为肠壁增厚伴粘膜下水肿,通常涉及回肠的长段,有肠梗阻的迹象,腹水,和肠系膜脂肪条纹。多个肠段(通常是胃窦和右结肠)的同时受累是需要考虑的另一个发现,并可能提供诊断线索。
    OBJECTIVE: The aim of this study was to retrospectively review cases of intestinal anisakiasis diagnosed by CT over a 10-year period and to evaluate imaging findings associated with the disease.
    METHODS: This retrospective study included 71 patients with clinical suspicion of intestinal anisakiasis in whom an abdominopelvic computed tomography (CT) was performed at a single institution between June 2011 and December 2021. To identify the cases, we used medical term search engines and the hospital\'s radiology case database. Clinical information was gathered from the medical records. A radiologist with five years of experience reviewed and analyzed the CT images to determine the characteristic findings of intestinal anisakiasis.
    RESULTS: The study included 47 confirmed cases of intestinal anisakiasis. The mean age of the patients was 52 years (range 18-87 years), being more frequent in men than women (26:21). All patients reported ingestion of raw fish, most commonly anchovies in vinegar (30/47, 63,8%). Abdominal pain was the predominant symptom, accompanied by nausea, vomiting, and occasionally fever. The most common clinical suspicions were intestinal obstruction (14/47, 29,8%) and appendicitis (10/47, 21,3%), whereas intestinal anisakiasis was suspected in only 2 cases prior to imaging. CT showed thickening of the bowel wall with submucosal edema in all patients, predominantly involving the ileum (43/47, 91,5%), usually in a relatively long segment (mean of 17,5 cm, range 10-30 cm). Simultaneous involvement of multiple bowel segments was observed in 16 cases (34%). Intestinal obstruction with dilatation of proximal loops (33/47, 70,2%), ascites (45/47, 95,7%), and mesenteric fat striation (32/47, 68,1%) were also common findings.
    CONCLUSIONS: This study demonstrates the value of computed tomography in suggesting the diagnosis of intestinal anisakiasis, which often presents with nonspecific clinical manifestations. The characteristic CT findings that provide diagnostic clues are bowel wall thickening with submucosal edema, typically involving a long segment of the ileum, with signs of intestinal obstruction, ascites, and mesenteric fat striation. Simultaneous involvement of several intestinal segments (typically the gastric antrum and right colon) is an additional finding to be considered and may provide a diagnostic clue.
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  • 文章类型: Observational Study
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  • 文章类型: Multicenter Study
    背景:胃无意义病通常会引起严重的腹部症状;然而,我们在食管胃十二指肠镜检查中偶然发现无症状的胃失联症病例。与胃anisakiasis引起的急性腹部症状相关的因素尚不清楚。因此,本研究旨在通过比较有症状和无症状的病例,探讨与腹部症状相关的临床因素。
    方法:这是一项回顾性队列研究,涉及2015年10月至2021年10月在日本9家医院诊断为胃无囊病的264例患者。我们分析了患者的病历和内窥镜图像,并比较了有症状和无症状组之间的临床因素。
    结果:一百六十五名患者(77.8%)被诊断为腹部症状,47例(22.2%)无症状。年纪大了,男性,糖尿病,胃粘膜萎缩,无症状组的Anisakis穿透区胃粘膜萎缩明显多于有症状组。多变量分析显示,年龄(p=0.007),性别(p=0.017),有无粘膜萎缩(p=0.033)是急性腹部症状发生的独立因素。此外,幽门螺杆菌初治的病例,随着白细胞的升高,有症状组比无症状组更常见或无嗜酸性粒细胞升高.
    结论:年龄,性别,胃粘膜萎缩的存在与否是与急性腹部症状发生相关的临床因素。老年和男性患者以及胃粘膜萎缩的患者不太可能出现腹部症状。胃失踪症引起的症状的发生机制尚不清楚;然而,我们的结果将有助于澄清这个问题。
    BACKGROUND: Gastric anisakiasis typically causes severe abdominal symptoms; however, we incidentally detected asymptomatic gastric anisakiasis cases during esophagogastroduodenoscopy. The factors associated with developing acute abdominal symptoms induced by gastric anisakiasis remain unclear. Therefore, this study aimed to investigate the clinical factors associated with abdominal symptoms of gastric anisakiasis by comparing symptomatic and asymptomatic cases.
    METHODS: This was a retrospective cohort study involving 264 patients diagnosed with gastric anisakiasis at nine hospitals in Japan between October 2015 and October 2021. We analyzed patients\' medical records and endoscopic images and compared the clinical factors between the symptomatic and asymptomatic groups.
    RESULTS: One hundred sixty-five patients (77.8%) were diagnosed with abdominal symptoms, whereas 47 (22.2%) were asymptomatic. Older age, male sex, diabetes mellitus, gastric mucosal atrophy, and gastric mucosal atrophy of the Anisakis penetrating area were significantly more common in the asymptomatic group than in the symptomatic group. Multivariate analysis revealed that age (p = 0.007), sex (p = 0.017), and presence or absence of mucosal atrophy (p = 0.033) were independent factors for the occurrence of acute abdominal symptoms. In addition, cases that were Helicobacter pylori naïve, with an elevation of white blood cells, or without an elevation of eosinophils were more common in the symptomatic group than in the asymptomatic group.
    CONCLUSIONS: Age, sex, and presence or absence of gastric mucosal atrophy were the clinical factors associated with the occurrence of acute abdominal symptoms. Older and male patients and those with gastric mucosal atrophy were less likely to show abdominal symptoms. The mechanisms of the occurrence of symptoms induced by gastric anisakiasis remain unclear; however, our results will help clarify this issue in the future.
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  • 文章类型: Journal Article
    异尖菌种。(线虫,异株科)是因其经济和健康影响而闻名的寄生虫,因为它们的L3幼虫阶段感染了各种鱼类,其中许多是商业物种,有时由于食用生鱼或未煮熟的鱼而引起人畜共患。这项研究的目的是确定A.simplexs.l.L3对金头seabream(SparusaurataL.)的感染过程和潜在影响,地中海水产养殖中最重要的鱼类之一,通过定期组织学监测感染过程。为此,鱼被实验性地感染了A.simplexs.l.L3,并定期分析L3幼虫,在不同时间点收集样品(摄入后小时数,hpi):3、6、12、18、24、36、48、72、96、120、144、168和192,直至感染后6个月(mpi)。在立体显微镜下观察所有样品,然后固定用于组织学检查。A.单纯s.l.L3仅在内脏表面和肠系膜组织上发现,但从不自由或包裹在肌肉中。发现时间顺序事件的发生速度比以前的研究中报道的要快。他们首先在体腔中观察到6hpi,出席最高48小时。虽然最早的证据是在18hpi观察到的A.simplexs.l.L3幼虫周围的纤维细胞,72hpi完成螺旋封装。观察到存活的寄生虫高达6mpi。尽管Anisakisspp感染了金头seabream。幼虫是可行的,似乎不太可能,特别是在水产养殖中,考虑到卫生控制的喂养系统。如果发生感染,由于Anisakisspp的标本状况不佳,因此不太可能传播。被发现。此外,由于在鱼的肌肉中没有检测到幼虫,人类感染似乎是不可能的。
    Anisakis spp. (Nematoda, Anisakidae) are parasites known by their economic and health impacts, as their L3 larval stages infect a variety of fish species, many of them commercial species, sometimes causing zoonotic episodes due to consumption of raw or undercooked fish. The aim of this study is to determine the infection process and the potential impact of A. simplex s.l. L3 on gilthead seabream (Sparus aurata L.), one of the most important fish species in Mediterranean aquaculture, by periodic histological monitoring of the infection process. For this, fish were experimentally infected with A. simplex s.l. L3 and periodically analysed for L3 larvae, collecting samples at different time points (hours post ingestion, hpi): 3, 6, 12, 18, 24, 36, 48, 72, 96, 120, 144, 168 and 192, up to 6 months post infection (mpi). All samples were observed under a stereomicroscope and later fixed for histological examination. A. simplex s.l. L3 were only found on the visceral surface and mesenteric tissue, but never free or encapsulated in muscle. Chronological events were found to occur faster than those reported in previous studies. They were first observed 6 hpi in the coelomic cavity, being present up to 48 hpi. While the earliest evidence of fibrocytes surrounding A. simplex s.l. L3 larvae were observed at 18 hpi, complete spiral encapsulation occurred by 72 hpi. Alive parasites were observed up to 6 mpi. Although the infection of gilthead seabream by Anisakis spp. larvae is feasible, it seems unlikely, especially in aquaculture given the hygienically controlled feeding systems. In the event of infection, the transmission would be unlikely due to the poor condition in which specimens of Anisakis spp. are found. Furthermore, since no larvae were detected in the fish\'s muscle, human infection seems improbable.
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  • 文章类型: Journal Article
    异株病现在是一种众所周知的传染病,主要是由于意外摄入异尖幼虫引起的,食用生的或未煮熟的鱼类和头足类。由于症状与常见胃肠道疾病的症状相似,这种感染经常被低估,对新的特定诊断工具的需求变得至关重要。鉴于MALDI-TOFMS生物分型在过去十年中在临床常规实践中对细菌和真菌菌株识别的显着影响,对于寄生虫的鉴定,可以预见类似的情况,如线虫。在这项工作中,为了构建用于诊断Anisakis感染的第一个光谱库,对Anisakis蛋白质组进行了MALDI-TOFMS分析。同时,通过LC-ESI-MS/MS的shot弹枪蛋白质组学方法对从蛋白质提取获得的两个主要部分进行,以评估该方案富集的蛋白质种类。选择了一组与源自线虫提取物的核糖体部分的蛋白质相关的MALDI-TOFMS信号作为鉴定Anisakisspp的潜在诊断工具。
    Anisakiasis is nowadays a well-known infection, mainly caused by the accidental ingestion of Anisakis larvae, following the consumption of raw or undercooked fishes and cephalopods. Due to the similarity of symptoms with those of common gastrointestinal disorders, this infection is often underestimated, and the need for new specific diagnostic tools is becoming crucial. Given the remarkable impact that MALDI-TOF MS biotyping had in the last decade in clinical routine practice for the recognition of bacterial and fungi strains, a similar scenario could be foreseen for the identification of parasites, such as nematodes. In this work, a MALDI-TOF MS profiling of Anisakis proteome was pursued with a view to constructing a first spectral library for the diagnosis of Anisakis infections. At the same time, a shotgun proteomics approach by LC-ESI-MS/MS was performed on the two main fractions obtained from protein extraction, to evaluate the protein species enriched by the protocol. A set of MALDI-TOF MS signals associated with proteins originating in the ribosomal fraction of the nematode extract was selected as a potential diagnostic tool for the identification of Anisakis spp.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    BACKGROUND: Anisakid larvae are the food-borne pathogen highly prevalent among numerous marine fishes. Accidental consumption of infected raw or poorly cooked fish fillets may cause anisakiasis.
    METHODS: This study used the multidisciplinary approach to investigate the occurrence of Anisakis nematodes in commonly consumed fish species, Scomber australasicus and Trichiurus lepturus purchased in Taipei Xinyi traditional fish market.
    RESULTS: All the Anisakis larvae collected herein were identified morphologically as Anisakis type I or Anisakis type II. The prevalence and the mean intensity of Anisakis larvae collected from S. australasicus was 80.77%, 26.8 (10-32) and 100%, 49.0 (27-70) for T. lepturus. Using molecular analysis, 83.33% (180/216) were identified as Anisakis pegreffii, 6.05% (13/216) as Ascaris typica, 1.85% (4/216) as Ascaris physeteris and 8.80% (19/216) as hybrid genotype (A. pegreffii + Anisakis simplex) in S. australasicus. In T. lepturus, 86.31% (290/336) were identified as A. pegreffii, 2.38% (8/336) as A. typica, and 11.31% (38/336) as hybrid genotype (A. pegreffii + A. simplex [s.s]). The molecular phylogenetic analysis shows two cluster clades, one group includes A. pegreffii complex and the other include Ascaris paggiae, Ascaris brevispiculata, and A. physeteris.
    CONCLUSIONS: Thus, A. pegreffii is the most abundant species and may be the potential causes of human infection.
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  • 文章类型: Case Reports
    自1996年首次描述以来,通过进行文献检索,对意大利的人类anisakiasis进行了回顾性分析。应用基于幼虫的存在和寄生虫鉴定的纳入标准。分析了流行病学数据和临床特征。特别注意感染源。总的来说,73例纳入分析,34人被排除在外。报告的病例来自意大利八个地区,最常见的是Abruzzo,普利亚和拉提姆.通过内窥镜检查(51.4%)或剖腹手术(48.6%)检测到寄生虫。感染部位为肠道(42.5%),胃(43.8%),食管(1.4%)或异位(12.3%)。大多数寄生虫(71.0%)被鉴定为Anisakissp。或A.单纯形(s.l.)。然而,当使用分子方法时(21例),A.pegreffii总是被识别出来。在大多数患者(65.7%)中,感染源是生的或未煮熟的凤尾鱼,其次是“凤尾鱼或沙丁鱼”(15.1%),通用“生海鲜”(15.1%),和沙丁鱼(百分之一点四)。只有2例(2.7%)源不可用。这是对意大利anisakiasis病例的首次系统分析。从结果得出的主要结论是:i)应该注意历史,特别是当生腌制的凤尾鱼时,被证明是意大利人类茴香病的主要来源,被消耗;ii)为了评估正确的流行病学数据,应始终寻求经证实和具体的病因鉴定.
    A retrospective analysis on human anisakiasis in Italy since its first description in 1996 was performed by conducting a literature search. Inclusion criteria based on the presence of a larva and on parasite identification were applied. Epidemiological data and clinical features were analysed. Particular attention was paid to the source of infection. In total, 73 cases were included in the analysis, while 34 were excluded. Cases were reported from eight Italian regions, most frequently Abruzzo, Apulia and Latium. The parasite was detected by endoscopy (51.4%) or laparotomy (48.6%). The site of infection was intestinal (42.5%), gastric (43.8%), oesophageal (1.4%) or ectopic (12.3%). Most of the parasites (71.0%) were identified as Anisakis sp. or A. simplex (s.l.). However, when molecular methods were used (21 cases), A. pegreffii was always identified. In most of the patients (65.7%), the source of infection was raw or undercooked anchovies, followed by \"anchovies or sardines\" (15.1%), generic \"raw seafood\" (15.1%), and sardines (1.4%). In only 2 cases (2.7%), the source was not available. This is the first systematic analysis of Italian cases of anisakiasis. The main conclusions derived from the results are: i) attention should be given to the history, in particular when raw marinated anchovies, proven to be the main source of human anisakiasis in Italy, are consumed; ii) in order to assess correct epidemiological data, a confirmed and specific etiological identification should always be sought.
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  • 文章类型: Journal Article
    Anisakiasis is a global disease caused by consumption of raw or lightly cooked fish parasitised with Anisakis spp. third-stage larvae. Cases in the literature show colocalised anisakiasis and colorectal cancer, and the incidental finding of Anisakis larvae at the tumour site was reported. Data from our group suggested an epidemiological link between previous infection and gastrointestinal cancer. Furthermore, it has recently been reported that Anisakis products lead to inflammation and DNA damage. Based on these facts, the aim was to investigate whether Anisakis antigens are able to induce changes in the proliferation of epithelial cells in vitro or in the expression of serum microRNA (miRNA) in Sprague-Dawley rats. Anisakis complete extract (CE) induced increases in cell proliferation and decreases in apoptosis compared with nontreated cells, which resulted in a significant increase in the absolute number of viable cells at 48 h of exposure (P < .05). Furthermore, the miRNAs mmu-miR-1b-5p and mmu-miR-10b-5p (a cancer-related miRNA) were significantly decreased (P < .05) in sera from the rats inoculated with Anisakis CE, compared with control rats inoculated with saline. Additionally, based on their relative quantification values, four other cancer-related miRNAs were considered to be differently expressed, rno-miR-218a-5p and mmu-miR-224-5p (decreased) and rno-miR-125a-3p and rno-miR-200c-3p (increased). Anisakis CE was able to induce changes both in epithelial cells in vitro and in an animal model. The results obtained with Anisakis CE, in terms of increasing cell proliferation, decreasing apoptosis and inducing changes in the expression of serum cancer-related miRNAs in rats, suggest that Anisakis could have tumourigenic potential.
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