title: A case of acute gastric anisakiasis provoking severe clinical problems by multiple infection.
abstract: Acute gastric anisakiasis with multiple anisakid larvae infection is reported. A 68-year-old woman residing in Busan, Korea, had epigastric pain with severe vomiting about 5 hours after eating raw anchovies. Four nematode larvae penetrating the gastric mucosae in the great curvature of the middle body and fundus were found and removed during gastro-endoscopic examination. Another one thread-like moving larva was found in the great curvature of upper body on the following day. On the basis of their morphology, the worms were identified as the 3rd stage larvae of Anisakis simplex. This case is acute gastric anisakiasis provoking severe clinical problems by the multiple infection and the greatest number of anisakid larvae found in a patient in Korea.
authors.affiliation: Department of Internal Medicine, Kosin Medical College, Busan 602-703, Korea.
authors.forename: Ji Hun
authors.initials: JH
authors.lastname: Noh
authors.forename: Bong- Jin
authors.initials: B
authors.lastname: Kim
authors.forename: Sun Mee
authors.initials: SM
authors.lastname: Kim
authors.forename: Mee- Sun
authors.initials: M
authors.lastname: Ock
authors.forename: Moo In
authors.initials: MI
authors.lastname: Park
authors.forename: Ja Young
authors.initials: JY
authors.lastname: Goo
mesh_terms: D000208:Acute Disease; D000368:Aged; D000818:Animals; D017129:Anisakiasis / Q000469:parasitology* / Q000601:surgery; D017163:Anisakis / Q000254:growth & development*; D005260:Female; D005753:Gastric Mucosa / Q000469:parasitology / Q000473:pathology / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D013272:Stomach Diseases / Q000469:parasitology* / Q000473:pathology / Q000601:surgery