[Human helminthiasis transmitted by fishes].
The consumption of dishes made from raw fresh- or see-water fishes exposes many individuals (residents, visitors or migrants) from tropical to arctic regions to the risk of helminthiasis. Anisakiasis, diphyllobothriasis, clonorchiasis, opistorchiasis and gnathostomiasis have distinct parasitic cycles and various clinical presentations, from sub-clinical infections to life-threatening hemorragic or tumoral complications. In-depth history, clinical presentation, stool examination for ova and parasites and serology usually allow for a specific diagnosis to be made. The common anti-parasitic drugs, such as albendazole, ivermectin and praziquantel, are efficacious against most of these helminthiasis. Sufficient cooking or freezing of fishes before consumption are very efficient preventive measures.
Chappuis
F
F
Unité de médecine des voyages et des migrations, Département de médecine communautaire, HUG, Genève. grancois.chapuis@hcuge.ch
Loutan
L
L
D000818:Animals; D005399:Fishes / Q000469:parasitology*; D016266:Food Parasitology; D006373:Helminthiasis / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D006801:Humans