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Comparative Parasitology 67(1) 2000 - Peru State College

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74 COMPARATIVE PARASITOLOGY, <strong>67</strong>(1), JANUARY <strong>2000</strong><br />

6-yr-old Indian girl from Oman, Arabian Peninsula<br />

(Bhargava et al., 1996), and extragastrointestinal<br />

"anisakidosis" has been reported<br />

in the mucous membrane of pharynx and<br />

esophagus in Japan (Ishikura et al., 1993); the<br />

identity of these worms was not elaborated<br />

further.<br />

We attribute the upper gastrointestinal invasiveness<br />

of the larva of P. decipiens through the<br />

unusual esophageal site to the immune depression<br />

of the patient or weakness from ALS. The<br />

continued penetration of the worm through the<br />

neck tissue and the exiting through the neck sore<br />

represent an extreme case of invasiveness that,<br />

to the best of our knowledge, has not been previously<br />

reported in larvae of either Anisakis or<br />

Pseudoterranova.<br />

We believe that the state of the patient could<br />

have been related to 1 or more of the following<br />

3 factors: ALS, Lyme disease, or anisakid(s).<br />

Symptoms of anisakiasis may persist after worm<br />

death because some lesions have been found<br />

upon surgical removal that contain only nematode<br />

remnants. Stenosis of the pyloric sphincter<br />

was observed in a case where exploratory laparotomy<br />

had revealed a worm that was not removed<br />

(FDA/CSFAN, 1992). Simultaneous<br />

multiple infections with as many as 10 anisakid<br />

worms have been reported in Japan (Ishikura et<br />

al., 1993). Although acute necrotizing eosinophilic<br />

granulomatous inflammation involving the<br />

intestine has been documented in cases of invasive<br />

anisakiasis, hypersensitivity, sensitization,<br />

and a chronic form of the disease lasting<br />

about 2 yr have also been documented (Pinkus<br />

et al., 1975; Alonso et al., 1997).<br />

Literature Cited<br />

Alonso, A., A. Daschner, and A. Moreno-Ancillo.<br />

1997. Anaphylaxis with Anisakis simplex in the<br />

gastric mucosa. New England Journal of Medicine<br />

337:350-352.<br />

Bhargava, D., R. Raman, M. Z. El Azzouni, K.<br />

Bhargava, and B. Bhusnurmath. 1996. Anisakiasis<br />

of the tonsils. Journal of Laryngology and<br />

Otology 110:387-388.<br />

Deardorff, T. L., T. Fukumura, and R. B. Raybourne.<br />

1986. Invasive anisakiasis. A case report<br />

from Hawaii. Gastroenterology 90:1047—<br />

1050.<br />

Gibson, D. 1983. The systematics of ascaridoid nematodes:<br />

a current assessment. Pages 321-338 in A.<br />

F. Stone, H. M. Platt, and L. Khalil, eds. Nematode<br />

Systematics Association. Special Vol. 22.<br />

Academic Press, London.<br />

Hayasaka, H., H. Ishikura, and T. Takayama. 1971.<br />

Copyright © 2011, The Helminthological Society of Washington<br />

Acute regional illeitis due to Anisakis larvae. International<br />

Surgery 55:8-14.<br />

Ishikura, H., K. Kikuchi, K. Nagasawa, T. Ooiwa,<br />

H. Takamiya, N. Sato, and K. Sugane. 1993.<br />

Anisakidae and anisakidosis. Progress in Clinical<br />

<strong>Parasitology</strong> 3:43-102.<br />

Jackson, G. J. 1975. The "new disease" status of human<br />

anisakiasis and North American cases: a review.<br />

Journal of Milk and Food Technology 38:<br />

769-773.<br />

Kates, S., K. A. Wright, and R. Wright. 1973. A<br />

case of human infection with the cod nematode<br />

Pseudoterranova sp. American Journal of Tropical<br />

Medicine and Hygiene 22:606-608.<br />

Kliks, M. M. 1983. Anisakiasis in the western United<br />

<strong>State</strong>s. Four new case reports from California.<br />

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32:526-532.<br />

Lichtenfels, J. R., and F. P. Brancato. 1976. Anisakid<br />

larva from the throat of an Alaskan Eskimo.<br />

American Journal of Tropical Medicine and Hygiene<br />

25:691-693.<br />

Little, M. D., and J. C. MacPhail. 1972. Large nematode<br />

larva from the abdominal cavity of a man<br />

in Massachusetts. American Journal of Tropical<br />

Medicine and Hygiene 21:948-950.<br />

, and H. Most. 1973. Anisakid larva from the<br />

throat of a woman in New York. American Journal<br />

of Tropical Medicine and Hygiene 22:609—<br />

612.<br />

Margolis, L. 1977. Public health aspects of "codworm"<br />

infections: a review. Journal of Fisheries<br />

Research Board of Canada 34:887-898.<br />

McKerrow, J. H., and T. L. Deardorff. 1988. Anisakiasis:<br />

revenge of the sushi parasite (letter).<br />

New England Journal of Medicine 319:1228-<br />

1229.<br />

Myers, B. J. 1959. Phocanema, a new genus for the<br />

anisakid nematode of seals. Canadian Journal of<br />

Zoology 37:459-465.<br />

. 1975. The nematodes that cause anisakiasis.<br />

Journal of Milk and Food Technology 38:774-<br />

782.<br />

. 1976. Research then and now on the Anisakidae<br />

nematodes. Transactions of the American Microscopical<br />

Society 95:137—142.<br />

. 1979. Anisakine nematodes in fresh commercial<br />

fish from waters along the Washington,<br />

Oregon and California coasts. Journal of Food<br />

Protection 42:380-384.<br />

Oshinia T. 1972. Anisakis and anisakiasis in Japan and<br />

adjacent area(s). Pages 301-393 in K. Morishita,<br />

Y. Komiya, and H. Matsubayashi, eds. Progress of<br />

Medical <strong>Parasitology</strong> in Japan. Vol. 4. Meguro<br />

Parasitological Museum, Tokyo.<br />

. 1987. Anisakiasis—is the sushi bar guilty.<br />

<strong>Parasitology</strong> Today 3:44-48.<br />

Pinkus, G. S., C. Coolidge, and M. D. Little. 1975.<br />

Intestinal anisakiasis. First case report from North<br />

America. American Journal of Medicine 59:114—<br />

120.<br />

U.S. Food and Drug Administration/Center for<br />

Food Safety and Applied Nutrition. 1992. Bad<br />

bug book. Anisakis simplex and related worms.

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