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Anisakis

Raw salmon may contain *Anisakis* parasites, which can cause allergic reactions (urticaria, angioedema, anaphylaxis) even after the parasite is dead. Reactions are triggered by thermostable allergens in the worm. Freezing at -20°C for ≥7 days kills the parasite but may not eliminate allergenicity.

Symptoms

  • Abdominal Pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Allergic reactions
  • Anaphylaxis
  • Fever

Healing & Prevention

  • Medical removal of larvae
  • Antiparasitic medication
  • Symptomatic treatment
  • Avoiding raw or undercooked fish
  • Emergency care for anaphylaxis

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