Pulmonary anisakiasis presenting as eosinophilic pleural effusion

Saito, Wakana; Kawakami, Kenji; Kuroki, Reiki; Matsuo, Hidenori; Oishi, Kazunori; Nagatake, Tsuyoshi

doi:10.1111/j.1440-1843.2005.00643.x

Cited by 11 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…7 However, in exceptional instances, Anisakis larvae can survive after penetrating the gastric mucosa, spreading either through the abdominal wall and viscera generating eosinophilic granulomas, 8 or outside the abdominal cavity, causing pulmonary anisakiasis and pleural effusion. 9 , 10 Elevated levels of total and Anisakis -specific IgE are often present in affected patients. However, diagnosis can be a challenge, particularly for extra-gastrointestinal anisakiasis, 9 as identifying the larvae can be difficult due to their degeneration induced by local inflammatory reactions.…”

Section: Discussionmentioning

confidence: 99%

“… 9 , 10 Elevated levels of total and Anisakis -specific IgE are often present in affected patients. However, diagnosis can be a challenge, particularly for extra-gastrointestinal anisakiasis, 9 as identifying the larvae can be difficult due to their degeneration induced by local inflammatory reactions. 12 …”

Section: Discussionmentioning

confidence: 99%

“…7 Nevertheless, though rarely, they can spread both inside and outside the abdomen 8 —indeed, cases of pleural localization have been reported. 9 , 10 We are describing a probable first case of pericardial anisakiasis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pericardial anisakiasis: unravelling diagnostic challenges in an unprecedented extra-abdominal manifestation: a case report

Giovacchini,

Menale,

Scheggi

et al. 2024

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Anisakis infects humans by consuming contaminated undercooked or raw fish, leading to gastric anisakiasis, gastro-allergic anisakiasis, or asymptomatic contamination. Although larvae usually die when penetrating the gastric tissue, cases of intra- and extra-abdominal spread were described. We report the first probable case of pericardial anisakiasis. Case summary A 26-year-old man presented to the emergency department because of progressive lower limb oedema and exertional dyspnea. Two months prior, he had consumed raw fish without any gastrointestinal symptoms. The echocardiogram reported a circumferential pericardial effusion (“swinging heart”) and mildly reduced left ventricular ejection fraction (LVEF). He was diagnosed with myopericarditis after a cardiac magnetic resonance. A fluorodeoxyglucose positron emission tomography scan revealed an intense pericardial metabolism. Blood tests exhibited persistent eosinophilia and mild elevation of Anisakis simplex IgE – as for past infection. A pericardial drainage was performed, subsequently, serial echocardiograms revealed a spontaneous recovery of his LVEF. No autoimmune, allergic, or onco-hematologic diseases were identified. Based on a history of feeding with potentially contaminated raw fish and on long-lasting eosinophilia, we suspected a pericardial anisakiasis, despite a low but persistent titer of specific IgE. Albendazole was administered for 21 days, along with colchicine and ibuprofen for 2 months; pericardial effusion resolution and eosinophil normalisation occurred two weeks after. Discussion We hypothesized that Anisakis larvae may have migrated outside the gastrointestinal tract, penetrating the diaphragm and settling in the pericardium, causing pericarditis and pericardial effusion. Clinicians should know that the pericardium may be another extra-abdominal localisation of anisakiasis, beyond pleuro-pulmonary involvement.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pericardial anisakiasis: unravelling diagnostic challenges in an unprecedented extra-abdominal manifestation: a case report

Giovacchini,

Menale,

Scheggi

et al. 2024

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

“…La larva móvil puede penetrar la pared intestinal, invadir y llegar al hígado, bazo, páncreas 30 , pulmones 31 y ovario. Se ha asociado a conjuntivitis, faringitis recurrente y adenopatías mesentéricas 23,[32][33] . Tanto anisakidosis como pseudoterranovosis se presentan predominantemente en adultos, con escasos reportes en Pediatría 34 .…”

Section: Parasitologíaunclassified

Pseudoterranovosis y sushi

et al. 2008

Rev. chil. infectol.

View full text Add to dashboard Cite

A case of accidental ingestion of Pseudoterranova decipiens is reported, on account of this patient we review main concepts related to this emerging pathology in Chile. Consumption of raw fish in different preparations such as sushi or sashimi, cebiche and seafood is becoming more and more popular. Through intermediary hosts used in the preparation, one can acquire the third stage larval of Anisakis simplex or P. decipiens. These parasites frequently cause gastritis, acutely after the consumption of raw fish, or more rarely intestinal involvement. It may also cause allergic symptoms such as urticaria, angioedema and anaphylactic shock. The larvae is eliminated spontaneously in most cases; others need to be removed by upper gastrointestinal endoscopic examination. In Chile, the most common species is P. decipiens, which are generally no invasive, rarely migrate beyond the stomach and cause mild or no symptoms. Prevention strategies include avoid eating raw fish or undercooked seafood containing the parasite, to cook food with high temperatures or to freeze raw fish prior to preparation of meals, which inactivates the larvae.Key words: Anisakidosis, anisakiosis, pseudoterranovosis, Anisakis simplex, Pseudoterranova decipiens, foodborne parasitic infections, fishborne parasitic infections, zoonoses.Palabras clave: anisakidosis, anisakiosis, pseudoterranovosis, Anisakis simplex, Pseudoterranova decipiens, enfermedades parasitarias transmitidas por alimentos, enfermedades parasitarias transmitidas por peces y mariscos, zoonosis. Introduccióne estima que las infecciones parasitarias transmitidas por alimentos afectan a más de 50 millones de personas en el mundo, cifra probablemente sub-estimada por la dificultad en el diagnóstico y una sub-notificación. La mayor incidencia de estas infecciones se encuentra en el Este y Sudeste asiático, situación que se está haciendo cada vez más frecuente en nuestro medio con los viajes a destinos exóticos y la incorporación de la comida oriental a los menús tradicionales. Las infecciones parasitarias son el resultado de la ingesta de alimentos crudos o mal cocidos. Comentario editorial en página 196. La mayoría de estos cuadros son producidos por nemátodos, tremátodos, céstodos y protozoos 1 . Presentamos el caso de una paciente que tras visitar un restaurante de comida japonesa, elimina con la tos una forma juvenil de nemátodo. Caso ClínicoPaciente de 30 años, sexo femenino, sana, residente en la ciudad de Santiago. Asistió a un restaurante de comida japonesa, donde degustó sushi de variados sabores, algunos de ellos preparados con salmón crudo. Al día siguiente, comenzó con tos y estornudos, se

show abstract

“…Presentations of ectopic disease include mesenteric mass (32), omental nodules (33,34), and involvement of mesocolic lymph nodes (35) and spleen (36). Anisakid larvae may also enter the pleural cavity from the peritoneal cavity by penetrating the diaphragm and causing an eosinophilic pleural effusion (37,38). Finally, cases of tonsillar and laryngeal anisakidosis have been described, where the larvae migrated back up the esophagus and into the tonsils or larynx (39,40).…”

mentioning

confidence: 99%