title: Severe chest pain due to gastric anisakiasis.
abstract: We treated two cases of gastric anisakiasis presenting with severe chest pain. In both cases, there was a history of prior ingestion of raw saltwater fish. After endoscopic removal of larvae, the chest pain disappeared and never recurred. Other diseases causing chest pain were ruled out by symptoms, signs, blood tests, electrocardiography, chest radiograph, and ultrasonic examination of the heart and abdomen. Thus the chest pain was considered to be caused by gastric anisakiasis. Gastric anisakiasis should be included in the differential diagnosis of acute chest pain.
authors.affiliation: Department of Internal Medicine, Keiju General Hospital, Nanao.
authors.forename: T
authors.initials: T
authors.lastname: Machi
authors.forename: S
authors.initials: S
authors.lastname: Okino
authors.forename: Y
authors.initials: Y
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Horita
authors.forename: T
authors.initials: T
authors.lastname: Taguchi
authors.forename: T
authors.initials: T
authors.lastname: Nakazawa
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: H
authors.initials: H
authors.lastname: Hirai
authors.forename: H
authors.initials: H
authors.lastname: Miyamori
authors.forename: S
authors.initials: S
authors.lastname: Kitagawa
mesh_terms: D000328:Adult; D000818:Animals; D017129:Anisakiasis / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology; D017163:Anisakis; D002637:Chest Pain / Q000209:etiology* / Q000469:parasitology; D005260:Female; D005399:Fishes / Q000469:parasitology; D016266:Food Parasitology; D006801:Humans; D007814:Larva; D008297:Male; D008875:Middle Aged; D013272:Stomach Diseases / Q000150:complications* / Q000175:diagnosis / Q000469:parasitology