Infectious Disease Compendium



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.


Eosinophilic gastroenteritis after eating under cooked fish with bdominal pain, nausea & vomiting, abdominal distention, diarrhea, bloody and mucusy stool, with mild fever.

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


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.


Cooking and freezing will kill it. Me? I love sushi.