Intestinal anisakidosis: Histopathological findings and differential diagnosis

Baron, Luigi; Branca, Giovanni; Trombetta, Cristian; Punzo, Enrico; Quarto, F; Speciale, Giuseppe; Barresi, Valeria

doi:10.1016/j.prp.2014.06.022

Cited by 19 publications

(9 citation statements)

References 25 publications

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“…In addition, intestinal anisakidosis may mimic several surgical conditions, including appendicitis, ileitis, diverticulitis, or inflammatory bowel disease. These are frequently primary diagnoses, which lead to surgery where anisakidosis is unexpectedly diagnosed [37, 38]. Awareness of these clinical manifestations’ relations with anisakidosis may facilitate its recognition and correct diagnosis, which is essential for the appropriate therapeutic approach.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Scenario of Anisakidosis in Spain Based on Associated Hospitalizations: The Tip of the Iceberg

Herrador

Daschner

Perteguer

et al. 2018

Clinical Infectious Diseases

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Background The risk of infection with Anisakis has been recognized for some time, but it is now emerging due to major awareness, better diagnostic techniques, and increasing preference for raw or lightly cooked food. Spain has the second-highest reported incidence after Japan, though the real anisakidosis burden is unknown because of the scarcity of epidemiological data. This study provides a 19-year review of anisakidosis-related hospitalizations describing epidemiological trends and patient characteristics. Methods We performed a retrospective descriptive study using the Spanish Hospitalization Minimum Data Set from 1997 to 2015. Hospitalization rates were calculated and spatial distribution of cases and their temporal behavior were assessed. Clinical characteristics were described, including related codiagnoses and procedures. Results A total of 2471 hospital discharges were identified. A continuous increasing trend was observed, with several peaks. Most affected communities were located in the northwest inland part of the country. Almost 54% of hospitalized patients were male, with a mean age of 51.3 years. Median length of stay was 5 days, and the hospitalization median cost around €2900. Fatal outcome occurred in 0.5%. Most frequent codiagnoses were digestive diseases, mainly intestinal obstruction. Urticaria, anaphylactic reaction, and angioneurotic edema were only recorded in 2.2%, 2.4%, and 1.2%, respectively. Conclusions Knowing that hospitalization is unusual in anisakidosis, we offer calculations of the real disease burden. Improving disease surveillance in parallel to disease control will be useful both in gaining extended disease knowledge and reducing morbidity and related costs.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Scenario of Anisakidosis in Spain Based on Associated Hospitalizations: The Tip of the Iceberg

Herrador

Daschner

Perteguer

et al. 2018

Clinical Infectious Diseases

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“…In developed countries still having high endemic tuberculosis such as Taiwan, the incidences of both diseases are similar. Anisakidosis may also mimic inflammatory conditions of the gastrointestinal tract including appendicitis, ileitis, diverticulitis, or IBD [30]. Clinical presentation may be very similar with abdominal pain, fever, weight loss, and diarrhea.…”

Section: Infectious Ileo-colitis With a Chronic Coursementioning

confidence: 99%

When it is not inflammatory bowel disease

Louis

2015

Current Opinion in Gastroenterology

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“…Anisakidosis is a zoonotic disease caused by the ingestion of larval nematodes in raw seafood such as sushi, sashimi, ceviche and pickled herring (Audicana & Kennedy, 2008; Hochberg & Hamer, 2010; Baron et al ., 2014). Symptoms of anisakidosis are vague, and include abdominal pain, nausea, vomiting and diarrhoea.…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms of anisakidosis are vague, and include abdominal pain, nausea, vomiting and diarrhoea. This disease is often misdiagnosed as appendicitis, gastric ulcers or ileitis (Hochberg & Hamer, 2010; Baron et al ., 2014). The definitive diagnosis and management of gastric anisakidosis is generally non-operative, achieved by upper gastrointestinal endoscopy.…”

Section: Introductionmentioning

confidence: 99%

Increased number of eosinophils in ascites is associated with intestinal anisakidosis

Okumura¹,

Kubota²,

Lefor

et al. 2018

J. Helminthol.

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The aim of this study was to evaluate the association between eosinophils in ascites and the diagnosis of intestinal anisakidosis in patients with peritoneal signs on physical examination. We reviewed retrospectively 16 patients diagnosed with intestinal anisakidosis, evaluated between 2012 and 2015. All patients had ingested raw anchovies. The analysis of ascites fluid in ten of these patients was compared with that of 15 patients with ascites and other abdominal pathology (except liver cirrhosis). All patients had an increased number of white blood cells in the ascites fluid. The eosinophil count was significantly higher in patients with intestinal anisakidosis (P < 0.01). All patients had a good outcome. Increased eosinophils in ascites fluid is strongly associated with the diagnosis of intestinal anisakidosis.

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Intestinal anisakidosis: Histopathological findings and differential diagnosis

Cited by 19 publications

References 25 publications

Epidemiological Scenario of Anisakidosis in Spain Based on Associated Hospitalizations: The Tip of the Iceberg

Epidemiological Scenario of Anisakidosis in Spain Based on Associated Hospitalizations: The Tip of the Iceberg

When it is not inflammatory bowel disease

Increased number of eosinophils in ascites is associated with intestinal anisakidosis

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