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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: kenjiokumura@kyudai.jp
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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.

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