Letters to the Editor
To the Editor:
We read with interest the recent report on gnathostomiasis and sushi ingestion.1 Jarell et al reported a case of a patient with a history of frequent ingestion of raw fish. Indeed, eating raw fish is a risk for acquiring gnathostomasis. However, the word “sushi” is not used properly, because sushi is a Japanese-style raw-fish dish, and does not apply to the other kinds of Asian raw-fish dishes. Indeed, not all fish harbor the infective stage of the Gnathostoma spp. Only some types of fish especially eels, which are commonly ingested in some Southeast Asian countries, carry special risk.2 Hence, in order to diagnose an unexplained migrating skin lesion, a careful correlation should be made.
1. Jarell AD, Dans MJ, Elston DM, et al.. Gnathostomiasis in a patient who frequently consumes sushi [published online ahead of print October 22, 2011]. Am J Dermatopathol. DOI: 10.1097/DAD.0b013e31821cf4a6.
2. Herman JS, Chiodini PL. Gnathostomiasis, another emerging imported disease. Clin Microbiol Rev. 2009;22:484–492.