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Increased number of eosinophils in ascites is associated with intestinal anisakidosis

Published online by Cambridge University Press:  09 January 2018

K. Okumura ,
T. Kubota ,
A.K. Lefor ,
A. Saito  and
K. Mizokami
K. Okumura*
Affiliation:
Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan
T. Kubota
Affiliation:
Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan
A.K. Lefor
Affiliation:
Department of Surgery, Jichi Medical University, Tochigi, Japan
A. Saito
Affiliation:
Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan
K. Mizokami
Affiliation:
Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan
*
Author for correspondence: K. Okumura, Fax: +81-47-352-6237, E-mail: [email protected]
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Abstract

The aim of this study was to evaluate the association between eosinophils in ascites and the diagnosis of intestinal anisakidosis in patients with peritoneal signs on physical examination. We reviewed retrospectively 16 patients diagnosed with intestinal anisakidosis, evaluated between 2012 and 2015. All patients had ingested raw anchovies. The analysis of ascites fluid in ten of these patients was compared with that of 15 patients with ascites and other abdominal pathology (except liver cirrhosis). All patients had an increased number of white blood cells in the ascites fluid. The eosinophil count was significantly higher in patients with intestinal anisakidosis (P < 0.01). All patients had a good outcome. Increased eosinophils in ascites fluid is strongly associated with the diagnosis of intestinal anisakidosis.

Type
New concepts and case studies
Information
Journal of Helminthology , Volume 93 , Issue 1 , January 2019 , pp. 126 - 129
Copyright
Copyright © Cambridge University Press 2018 

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Footnotes

K. Okumura and T. Kubota designed and performed the research and wrote the paper; A.K. Lefor wrote, helped with English and supervised the report; A. Saito and K. Mizokami provided clinical advice and supervised the report.

References

Akriviadis, EA and Runyon, BA (1990) Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. Gastroenterology 98, 127–133.Google Scholar
Audicana, MT and Kennedy, MW (2008) Anisakis simplex: from obscure infectious worm to inducer of immune hypersensitivity. Clinical Microbiology Reviews 21, 360–379.Google Scholar
Baron, L, Branca, G, Trombetta, C, Punzo, E, Quarto, F, Speciale, G and Barresi, V (2014) Intestinal anisakidosis: histopathological findings and differential diagnosis. Pathology Research and Practice 210, 746–750.Google Scholar
Couture, C, Measures, L, Gagnon, J and Desbiens, C (2003) Human intestinal anisakidosis after consumption of raw salmon. The American Journal of Surgical Pathology 27, 1167–1172.Google Scholar
Dominguez-Ortega, J, Martinez-Alonso, JC, Alonso-Liamazares, A, Argüelles-Grande, C, Chamorro, M, Robledo, T, Palacio, R and Martínez-Cócera, C (2003) Measurement of serum levels of eosinophil cationic protein in the diagnosis of acute gastrointestinal anisakiasis. Clinical Microbiology and Infection 9, 453–457.Google Scholar
Gomez, B, Tabel, AL, Tuñón, T, Larrínaga, B, Alvarez, MJ, García, BE and Olaguibel, JM (1998) Eosinophilic gastroenteritis and Anisakis. Allergy 53,1148–1154.Google Scholar
Hochberg, NS and Hamer, DH (2010) Anisakidosis: perils of the deep. Clinical Infectious Disease 51, 806–812.Google Scholar
Ido, K, Yuasa, H, Ide, M, Kimura, K, Toshimitsu, K and Suzuki, T (1998) Sonographic diagnosis of small intestinal anisakiasis. Journal of Clinical Ultrasound 26, 125–130.Google Scholar
Ishida, M, Harada, A, Egawa, S, Watabe, S, Ebina, N and Unno, M (2007) Three successive cases of enteric anisakiasis. Digestive Surgery 24, 228–231.Google Scholar
Ishikura, H, Kikuchi, Y and Ishikura, H (1983) Enteritis acuta caused by Anisakis larvae. Stomach and Intestine 18, 393–397.Google Scholar
Lorenzo, S, Iglesias, R, Leiro, J, Ubeira, FM, Ansotegui, I, Garcia, M and Fernandez de Corres, L, (2003) Usefulness of currently available methods for the diagnosis of Anisakis simplex allergy. Allergy 55, 627–633.Google Scholar
O’ Daly, BJ, Ridgway, PF, Keenan, N, Sweeney, KJ, Brophy, DP, Hill, AD, Evoy, D, O'Higgins, NJ and McDermott, EW (2009) Detected peritoneal fluid in small bowel obstruction is associated with the need for surgical intervention. Canadian Journal of Surgery 52, 201–206.Google Scholar
Ramanan, P, Blumberg, AK, Mathison, B and Pritt, BS (2013) Parametrial anisakidosis: a case report and review of literature. Journal of Clinical Microbiology 51, 3430–3434.Google Scholar
Sakanari, JA, Loinaz, HM, Deardorff, TL, Raybourne, RB, McKerrow, JH and Frierson, JG (1988) Intestinal anisakiasis. A case diagnosed by morphologic and immunologic methods. American Journal of Clinical Pathology 90, 107–113.Google Scholar
Sasaki, T, Fukumori, D, Matsumoto, H, Ohmori, H and Yamamoto, F (2003) Small bowel obstruction caused by anisakiasis of the small intestine: report of a case. Surgery Today 33, 123–125.Google Scholar
Shibata, E, Ueda, T, Akaike, G and Saida, Y (2014) CT findings of gastric and intestinal anisakiasis. Abdominal Imaging 39, 257–261.Google Scholar
Shirahama, M, Koga, T, Ishibashi, H, Uchida, S, Ohta, Y and Shimoda, Y (1992) Intestinal anisakiasis: US in diagnosis. Radiology 185, 789–793.Google Scholar
Shrestha, S, Kisino, A, Watanebe, M, Itsukaichi, H, Hamasuna, K, Ohno, G and Tsugu, A (2014) Intestinal anisakiasis treated successfully with conservative therapy: importance of clinical diagnosis. World Journal of Gastroenterology 20, 598–602.Google Scholar
Soriano, G, Castellote, J, Alvarez, C, et al. (2010) Secondary bacterial peritonitis in cirrhosis: a retrospective study of clinical and analytical characteristics, diagnosis and management. Journal of Hepatology 52, 39–44.Google Scholar
Takei, H and Powell, SZ (2007) Intestinal anisakidosis (anisakiosis). Annals of Diagnostic Pathology 11, 350–352.Google Scholar
Yasunaga, H, Horiguchi, H, Kuwabara, K, Hashimoto, H and Matsuda, S (2010) Clinical features of bowel anisakiasis in Japan. American Journal of Tropical Medicine and Hygiene 83, 104–105.Google Scholar
Yun, MY, Cho, YU, Park, IS, Choi, SK, Kim, SJ, Shin, SH and Kim, KR (2007) Eosinophilic gastroenteritis presenting small bowel obstruction: a case report and review of the literature. World Journal of Gastroenterology 13, 1758–1760.Google Scholar