Saturday, July 30, 2016

Case of the Week 407

This week's amazing case was donated by Dr. Sue Whittier. The patient had cooked salmon and eaten it with her family. It was then refrigerated and reheated it for dinner the next day. Here is what the diners saw in the re-heated salmon:

It definitely caught everyone's attention since it was actively moving!

 Identification? What follow-up would you recommend for the individuals who had eaten this salmon the day before?
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7 comments:

  1. AnonymousJuly 30, 2016 at 11:35 AM

    Anasakis. Also, when they said that they "cooked" this, was did that entail? But great video!

    -Jacque U.

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  2. UnknownJuly 30, 2016 at 11:48 AM

    Diphylobothrium sp.

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  3. Wormguy123July 30, 2016 at 4:23 PM

    Anasakis. In terms of follow up, watchful waiting vs. empiric albendazole to prophylaxis against symptomatic disease. No prospective studies to rely on.

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  4. William SearsJuly 30, 2016 at 5:43 PM

    Anisakiasis, pseudoterranova or anisakis. Monitor for clinical signs of penetration of bowel mucosa.

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  5. AnonymousJuly 30, 2016 at 5:57 PM

    Wow, a nice case of anisakid worm in salmonid. Judging from the width of the fork as an approximate size, this could be an Anisaki. Hopefully this does not lessen our craving for sushi, sashimi or my prefered Peruvian Ceviche. In Florida, we eat what we catch and since the worm is still alive, it has not been cooked.

    Florida Fan

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  6. AnonymousAugust 2, 2016 at 5:39 PM

    You would think even a little cooking would kill the worm - they are tough! By the way Bobbi - your Demodex pic in the CAP TMO we just got was great. It makes my eyes itch just looking at it.

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  7. AnonymousAugust 5, 2016 at 7:49 AM

    Freezing for 24 hrs -20 degrees Celsius should also do the trick.

    Hans Naus

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