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Anisakis

¿Cómo puede afectar a la salud de las personas los anisakis?

Parte posterior de un Anisakis.

El ser humano es un huésped accidental del anisakis, es decir, podemos ingerir las larvas que se encuentran en los huéspedes intermediarios aunque el parásito no pueda desarrollarse en nuestro interior. Cuando comemos pescado infectado por anisakis, las larvas vivas tienden a enquistarse en las paredes del estómago o de los intestinos. Los primeros síntomas de anisakiosis pueden aparecer desde una hora hasta dos semanas tras la infección. En la mayoría de los casos, provoca un hormigueo en el cuello y en las infecciones más graves puede provocar intensos dolores abdominales, náuseas, vómitos y diarreas. No obstante, nuestro organismo es capaz de eliminar el parásito, que en general, desaparece a las tres semanas de la infección. Aún así, en algunos casos ha sido necesaria la extracción del nematodo por endoscopia.

Por otro lado, también se han descrito casos de personas con alergia a los anisakis que pueden sufrir desde una simple urticaria hasta un choque anafiláctico. En este sentido, no hace falta que el parásito esté vivo para ocasionar un proceso alérgico ya que la reacción es provocada por los antígenos (proteínas) de los anisakis.

Cabe recordar que los beneficios de comer pescado son superiores al reducido riesgo de contraer anisakiosis.

Hasta el año 2011, en Europa se habían descrito unos 600 casos de anisakiosis con una mayor prevalencia (95% de los casos) en Holanda, Alemania, Francia y España. En concreto, en el Estado español se habían documentado cerca de 100 casos de anisakiosis y unos 250 casos de alergia causada por los antígenos del parásito. A pesar de que las estadísticas oficiales no recogían más de 3-4 casos por año, en el ámbito hospitalario se estimaba un promedio de 5-10 casos por año y hospital, la cual cosa nos indicaba que las cifras oficiales estaban infravalorando los datos epidemiológicos. De hecho, según la Fundación Española del Aparato Digestivo (FEAD), en 2012 se notificaron unos 20.000 casos de anisakiasis a nivel mundial. Aunque no aportaron el número de casos registrados en el Estado español, concluyeron que España se había convertido en el segundo país con mayor incidencia de anisakiasis después de Japón. Aun así, cabe recordar que los beneficios de comer pescado son superiores al reducido riesgo de contraer anisakiosis. (Ver apartado Omega 3).

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