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A case report on human infection with Anisakis sp. in Korea
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Korean J Parasito > Volume 9(1):1971 > Article

Original Article
Korean J Parasitol. 1971 Apr;9(1):39-43. Korean.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1971.9.1.39
Copyright © 1971 by The Korean Society for Parasitology
A case report on human infection with Anisakis sp. in Korea
Chong Hwan Kim,Bong Seok Chung,Young Il Moon and Soong Hwan Chun
Department of Parasitology, Yonsei University Medical College, Seoul, Korea.
Department of Otolaryngology, Yonsei University Medical College, Seoul, Korea.
Abstract

Authors experienced a case of human infection with Anisakis sp. in left tonsil.

The case was 27 year Korean female who visited Department of Otolaryngology, Severance Hospital with the chief complaints of swollowing difficulty, and the sensation of a foreign body in the throat, on November 20th 1968.

Physical examination of the oral cavity revealed that both palatin tonsil were chronically enlarged.

A larval worm was found in crypt of the upper portion of the left palatin tonsil. Chief complaints of the patient was improved after removal of it by forceps.

The greyish white living worm was fixed in lactophenol solution for morphological study. The worm measured 36 mm in length by 0.6 mm in width, 2.4 mm in esophageal length, 1.4 mm in ventricule, 0.1 mm in tail length, and 0.025 mm in caudal spine length, respectively and histological study was carried out from the serial section of the larva which was stained with hematoxylin eosin.

Authors identified that the larva was Anisakis species.

Figures


Fig. 1
Whole worm of the Anisakis larva, fixed in lactophenol solution (×1.5%).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 2
Ventricule part of worm (×40).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 3
Anteriol part of worm (×200).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 4
Posteriol part of worm showing typical posterial spine(×200).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 5
Cross-section through the esophageal level of the worm, showing characteristic division of the lateral chords (×200).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 6
Cross-section through the ventricule level of worm, showing gland-like tissue from left larteral chord to one-third portion of ventricule (×100).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 7
Cross section through the middle part of the worm (×200).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules



Fig. 8
Cross section through one-third posteriol part of worm (×100).

a; anus, as; anteriol spine, Es; esophagus, g; glandlike tissue, i; intestine, Lc; lateral chords, Ps; posterial spine v; ventricules


Tables


Table 1
Measurement of the Anisakis sp. larva from palatine tonsil of the patient

References
1. Kwan YP, et al. J Catholic Med College 1968;15:103–121.
2. van Thiel PH, et al. Trop geogr Med 1960;2:97–113.
3. van Thiel PH. Parasitology 1962;52:16–17.
4. van Thiel PH, van Houten H. The localization of the herringworm Anisakis marina in- and outside the human gastro-intestinal wall. Trop Geogr Med 1967;19(1):56–62.
 
5. Ashby BS, Appleton PJ, Dawson I. Eosinophilic Granuloma Of Gastro-Intestinal Tract Caused By Herring Parasite Eustoma Rotundatum. Br Med J 1964;1(5391):1141–1145.
  
6. Yokogawa M, Yoshimura H. Anisakis-like larvae causing eosinophilic granulomata in the stomach of man. Am J Trop Med Hyg 1965;14(5):770–773.
 
7. Yokogawa M, Yoshimura H. Clinicopathologic studies on larval anisakiasis in Japan. Am J Trop Med Hyg 1967;16(6):723–728.
 
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