Publication: Gnathostoma larva migrans among guests of a New Year party.
Issued Date
1991-12-01
Resource Type
ISSN
01251562
Other identifier(s)
2-s2.0-0026281438
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Mahidol University
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SCOPUS
Bibliographic Citation
The Southeast Asian journal of tropical medicine and public health. Vol.22 Suppl, (1991), 225-227
Suggested Citation
S. Migasena, P. Pitisuttithum, V. Desakorn Gnathostoma larva migrans among guests of a New Year party.. The Southeast Asian journal of tropical medicine and public health. Vol.22 Suppl, (1991), 225-227. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/22087
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Title
Gnathostoma larva migrans among guests of a New Year party.
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Abstract
An outbreak of Gnathostoma larva migrans occurred among guests of a New Year's party in Chachoengsao, Thailand. Nine people who consumed a raw fish dish called 'Hu-sae' contracted the disease. Five of them developed gastro-intestinal symptoms consisting of nausea, vomiting, abdominal cramps and diarrhea as early as within the first 24 hours, while in the other four, symptoms started on the following day. After the initial symptoms pertaining to the gut, malaise, chest discomfort, cough, myalgia, weakness, itching and migratory swellings were experienced. Eosinophilia was demonstrated in every patient with a mean (+/- SE) count of 5,516 +/- 1,010 cells/cu mm. Detection of antibody against aqueous extracts of G. spinigerum adult antigen using an enzyme-linked immunosorbent assay showed a titer of 1:1,600 or greater in every patients except one who had a titer of 1:400 (positive greater than or equal to 1:400). This outbreak illustrates the high attack rate when heavily infected fish are consumed.