Infectious Disease Compendium

Anisakis

Microbiology

A helminth (Review). Not to be worn when riding a motorcycle. Anisakis simplex and Pseudoterranova decipiens.

Epidemiologic Risks

Eating under cooked fish.

A. simplex complex: Japan, the Netherlands, northern Europe, United States, Korea.

Pacific salmon, herring, anchovies, scad, hake, mackerelSushi, sashimi, salted or smoked herring, gravlax, boquerones, Hawaiian lomi-lomi, ceviche.

P. decipiens complex: United States, Canada Japan, Korea, Chile , Atlantic and Pacific cod, Ceviche, Pacific halibut, red snapper, hake.

Syndromes

Eosinophilic gastroenteritis after eating under cooked fish.

4 major clinical syndromes: gastric, intestinal, ectopic (or extra-gastrointestinal), and allergic disease.

Treatment

Self limited in about two weeks, plucking out the worms endoscopically can (?) hasten healing; occasionally it is chronic.

Maybe albendazole 400–800 mg daily for 6–21 days.

Notes

Me? I love sushi.

ICD9 Codes (Soon to be supplanted by ICD10)

Anisakiasis 127.1.