Premium
Pulmonary anisakiasis presenting as eosinophilic pleural effusion
Author(s) -
SAITO Wakana,
KAWAKAMI Kenji,
KUROKI Reiki,
MATSUO Hidenori,
OISHI Kazunori,
NAGATAKE Tsuyoshi
Publication year - 2005
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.2005.00643.x
Subject(s) - medicine , pleural effusion , eosinophilia , pleural fluid , anisakis , anisakis simplex , eosinophilic , serology , pathology , pleural cavity , gastroenterology , immunology , antibody , parasite hosting , surgery , fishery , world wide web , fish <actinopterygii> , computer science , biology
A 63‐year‐old man developed a pleural effusion with marked eosinophilia, which was more prominent in the pleural fluid than in the peripheral blood. The pleural effusion spontaneously disappeared 7 days after admission. A multiple dot enzyme‐linked immunosorbent assay for anisakiasis was strongly positive for both the serum and pleural fluid. The serum IgG titre for Anisakis simplex gradually decreased over 7 months. It is suspected that Anisakis larvae can penetrate the alimentary canal, and then migrate into the pleural cavity through the diaphragm. Screening with a serological test is useful in the diagnosis of this condition; human pulmonary anisakiasis.