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anisakiasis

anisakiosis

 

Anisakiosis is a parasitic infection that follows consumption of raw or insufficiently pickled, salted, smoked, or cooked wild marine fish infected with Anisakis sp. larvae.

Microscopical synopsis

-  localized area of serositis
-  mucosal edema
-  submucosal abscess rich in eosinophils surrounding a parasite consistent with the third larval stage of Anisakis sp.

Diagnostic morphologic of the parasite

-  unpaired excretory gland (renette cell)
-  Y-shaped lateral epidermal cords
-  no apparent reproductive system
-  a ventriculus (glandular esophagus)
-  absence of lateral alae excluded Ascaris sp.
-  absence of ventricular appendage and intestinal cecum excluded other anisakids of the genera Pseudoterranova and Contracaecum.

Differential diagnosis

-  acute abdominal syndromes
-  eosinophilic infiltrates of the stomach, small intestine, colon, omentum, and mesentery

References

-  Couture C, Measures L, Gagnon J, Desbiens C. Human intestinal anisakiosis due to consumption of raw salmon. Am J Surg Pathol. 2003 Aug;27(8):1167-72. PMID: #12883252#



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