[Diagnosis of Anisakis infestation: experience in our environment]
| Autor: | E, Navarro Cantarero, B, Carro Alonso, C, Castillo Lario, J A, Fernández Gómez |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Adolescent Food Handling Peritonitis Anisakiasis Diagnosis Differential Food Parasitology Eosinophilia Animals Humans Child Aged Retrospective Studies Ultrasonography Aged 80 and over Fishes Immunoglobulin E Middle Aged Appendicitis Anisakis Abdominal Pain Radiography Spain Female Gastrointestinal Hemorrhage |
| Zdroj: | Allergologia et immunopathologia. 33(1) |
| ISSN: | 0301-0546 |
| Popis: | To characterize the most frequently found radiological findings in intestinal anisakiasis.The medical records of 14 patients diagnosed with intestinal anisakiasis between 2000 and 2003 in the Hospital Clinico Universitario Lozano Blesa in Zaragoza (Spain) were retrospectively reviewed. The imaging tests and immunological laboratory tests performed in these patients were evaluated.The most frequent reason for seeking medical assistance was right iliac fossa pain. Radiological findings of an inflammatory intestinal process were observed in 60 % of the patients. Seventy-five percent of the patients had eaten raw or insufficiently cooked fish and had eosinophilia; of these 80 % had elevated specific IgE levels.The incidence of anisakiasis is increasing and consequently knowledge of its most characteristic clinical, radiological and laboratory manifestations is important. The most frequently affected segment of the digestive tract is the ileum. Many patients have symptoms of acute abdomen, mimicking appendicitis or peritonitis. Anisakiasis is a self-limiting process that usually resolves in 1-2 weeks. Consequently, a conservative attitude is advisable to avoid unnecessary surgery. |
| Databáze: | OpenAIRE |
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