Pulmonary anisakiasis presenting as eosinophilic pleural effusion.
A 63-year-old man developed a pleural effusion with marked eosinophilia, which was more prominent in the pleural fluid than in the peripheral blood. The pleural effusion spontaneously disappeared 7 days after admission. A multiple dot enzyme-linked immunosorbent assay for anisakiasis was strongly positive for both the serum and pleural fluid. The serum IgG titre for Anisakis simplex gradually decreased over 7 months. It is suspected that Anisakis larvae can penetrate the alimentary canal, and then migrate into the pleural cavity through the diaphragm. Screening with a serological test is useful in the diagnosis of this condition; human pulmonary anisakiasis.
Saito
Wakana
W
Department of Respiratory Medicine, Nagasaki Medical Center of Neurology (formerly Kawatana National Hospital), Kawatana, Japan.
Kawakami
Kenji
K
Kuroki
Reiki
R
Matsuo
Hidenori
H
Oishi
Kazunori
K
Nagatake
Tsuyoshi
T
D000818:Animals; D017129:Anisakiasis / Q000150:complications* / Q000175:diagnosis; D017163:Anisakis / Q000276:immunology; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay; D004802:Eosinophilia / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D008174:Lung Diseases, Parasitic / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology*
D007074:Immunoglobulin G; D007073:Immunoglobulin E