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gnathostomiasis

   Also found in: Wikipedia 0.01 sec.
gnathostomiasis /gnatho·sto·mi·a·sis/ (nath″o-sto-mi´ah-sis) infection with the nematode Gnathostoma spinigerum, acquired from eating undercooked fish infected with the larvae.
gna·thos·to·mi·a·sis (n-thst-m-ss, nth-st-)
n.
A migrating edema or creeping eruption caused by subcutaneous infection with larvae of Gnathostoma spinigerum, usually contracted by eating undercooked fish.

gnathostomiasis
[nath′ōstōmī′əsis]
Etymology: Gk, gnathos + stoma, mouth + osis, condition
infection with the nematode Gnathostoma spinigerum, occurring when undercooked fish harboring the larvae is eaten. Because of its consumption of raw fish, the population of Southeast Asia, especially residents of Thailand and Japan, are particularly at risk. The larvae migrate, often in the subcutaneous tissue, causing a creeping eruption associated with intense eosinophilia. Occasionally they migrate to deeper tissues and cause abscesses or to the central nervous system, where they cause eosinophilic myeloencephalitis. The infection is treated by surgical removal or treatment with albendazole or ivermectin. See also cutaneous larva migrans.

gnathostomiasis [nath″o-sto-mi´ah-sis]
infection with the nematode Gnathostoma spinigerum, acquired from eating undercooked fish infected with the larvae.

gnathostomiasis
infection with the nematodes Gnathostoma spp. contracted by eating the intermediate host, e.g. undercooked fish infected with the larvae of G. spinigerum. Includes gastritis and cysts in the stomach wall caused by the adults and hepatitis caused by the larvae.


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A patient presenting with exactly the same constellation of symptoms, usually with some latency after a sojourn in Thailand (or circumscribed parts of South America) and after ingestion of raw fish dishes (or else unusual meats such as bullfrog meat) would most likely be diagnosed as having gnathostomiasis.
In recent years, gnathostomiasis has increasingly been found in persons in countries where Gnathostoma spinigerum has not been endemic.
On histologic examination, one must distinguish between tissue-inhabiting diptera larvae, infections with metacestodes, trematodes, tissue filariids, and gnathostomiasis.
 
 
 
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