Human pseudoterranovosis, an emerging infection in Chile

Fifteen cases of human pseudoterranovosis are reported for Chile, representing an emerging parasitic infection in this country caused by larvae of the nematode Pseudoterranova sp. Our observations also included an outbreak of pseudoterranovosis in 3 of 4 individuals who shared the same raw fish dish (cebiche). Most of the cases Occurred in adult patients. The main source of infection was from consumption raw or fried marine fish, including bakes (Merluccius australis or Merluccius gayi), pomfret (Brama australis), Inca scad (Trachurus murphyi), and corvina (Cilus gilberti). Seasonal distribution showed most of the cases to occur in fall and spring. Parasite larvae were isolated from the mouths of most of the patients after they reported a pharyngeal tickling sensation, coughing, vomiting, or a foreign body in the mouth or throat.