title: Pulmonary anisakiasis presenting as eosinophilic pleural effusion.
abstract: 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.
authors.affiliation: Department of Respiratory Medicine, Nagasaki Medical Center of Neurology (formerly Kawatana National Hospital), Kawatana, Japan.
authors.forename: Wakana
authors.initials: W
authors.lastname: Saito
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawakami
authors.forename: Reiki
authors.initials: R
authors.lastname: Kuroki
authors.forename: Hidenori
authors.initials: H
authors.lastname: Matsuo
authors.forename: Kazunori
authors.initials: K
authors.lastname: Oishi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Nagatake
mesh_terms: 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*
chemical_list: D007074:Immunoglobulin G; D007073:Immunoglobulin E