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KMID : 0382619880080010497
Hanyang Journal of Medicine
1988 Volume.8 No. 1 p.497 ~ p.503
Human Infection caused by a Larva of Anisakis spp.
äÌÙ¥ýï/Ahn, Myoung Hee
ÚÊÔðç±/ï÷üøôÉ/ì°Ë¬ç±/Min, Duk Young/Jung, Hyo Chul/Lee, Gang Young
Abstract
A case of human anisakiasis involving stomach is presented. A 31 years old Korean male working at fishery visited to the clinic with severe epigastric pain. Two days before the onset of illness he had eaten raw fish. On gastrofiberscopic examination a mass measuring 1 x 0.5cm was observed on the antrum: a glistening whitish worm was demonstrated on the center of the mass with redness and bleeding.
The white larva of Nematoda measuring 9 x 0.4mm without tail part was submitted. For parasitic identification, it immersed in the lactophenol solution (phenol 10gm, glycerol 10.6ml, lactic acid 8.2m1, D.W. 10.0m1) for 10 days and after that stained H and E. Mouth was surrounded by three lips with multiple irregular sized dentricles. Esophagus was measured total lenth, 1.13 x 0.15mm, anterior muscular portion, 0.53 x 0.15mm, and postericr ventricular portion 0.83 x 0.15mm. Cecum and ventricular appendage were absent, and tail part and terminal mucron were cut off. Excretory pore was seen between subventral lips as base. The cut section of the parasite showed a hyalinized smooth cuticle, polymyarian style muscular layer, esophagus (muscular and ventricular) and Y-shaped lateral chord. Intestinal portion was degenerated and was amorphous.
It was suggested that this worm seems to be a larva of Anisakis spp., type unknown.
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