A case of acute gastric anisakiasis provoking severe clinical problems by multiple infection

Abstract

Acute gastric anisakiasis with multiple anisakid larvae infection is reported. A 68-year-old woman residingin Busan, Korea, had epigastric pain with severe vomiting about 5 hours after eating raw anchovies. Four nematodelarvae penetrating the gastric mucosae in the great curvature of the middle body and fundus were found and removedduring gasteroendoscopic examination. Another one thread-like moving larva was found in the great curvature ofupper body on the following day. On the basis of their morphology, the worms were identified as the 3rd stage larvaeof Anisakis simplex. This case is acute gastric anisakiasis provoking severe clinical problems by the multiple infectionand the greatest number of anisakid larvae found in a patient in Korea.