In other cases, however, infection can lead to small bowel obstruction, which may require surgery, although treatment with albendazole alone (avoiding surgery) has been reported to be successful. Intestinal perforation (an emergency) is also possible. Occurrence
Larval anisakids are common parasites of marine and anadromous fish (e.g. salmon, sardine), and can also be found in squid and cuttlefish. In contrast, they are absent from fish in waters of low salinity, due to the physiological requirements of krill, which are involved in the completion of the worms life cycle. Anisakids are also uncommon in areas where cetaceans are rare, such as the southern North Sea. Due to having complex life cycles, species specific relationships and their eggs being released in the feces of their definitive host, the identification of anisakids in local fish populations can be a useful tool in assessing the range or migratory patterns of their definitive host.Unusual hosts of Anisakis larvae in the Southern Hemisphere, rarely reported, include seabirds, sharks, or sea kraits. Taxonomy
There are currently 13 species known to exist in this genus, with 12 formally described and one additional species given a temporary name (A. simplex sensu Davey, 1971 is a temporary name). There are three additional species classified as taxon inquirendum (A. dussumierii (Brenden, 1870), A. insignis (Diesing, 1851), and A. salaris (Gmelin, 1790) Yamaguti, 1935). There is one another species classified as nomen dubium (A. diomedeae (Linstow)). An additional 17 species names are now currently considered synonyms for the 13 species believed to exist in this genus.
Avoiding direct contact with contaminated surfaces such as communal changing rooms and shower floors and benches, avoiding sharing of shoes and socks and avoiding contact with warts on other parts of the body and on the bodies of others may help reduce the spread of infection. Infection is less common among adults than children.As all warts are contagious, precautions should be taken to avoid spreading them. Recommendations include:

Cover them with an adhesive bandage while swimming
Wear latex swimming socks
Wear flip-flops when using communal showers
Do not share towels.Plantar warts are not prevented by inoculation with HPV vaccines because the warts are caused by different strains of HPV. Gardasil protects against strains 6, 11, 16, and 18, and Cervarix protects against 16 and 18, whereas plantar warts are caused by strains 1, 2, 4, and 63. Treatment
A number of treatments have been found to be effective. A 2012 review of different treatments for skin warts in otherwise healthy people concluded modest benefit from salicylic acid, and cryotherapy appears similar to salicylic acid. Medications
Salicylic acid, the treatment of warts by keratolysis, involves the peeling away of dead surface skin cells with keratolytic chemicals such as salicylic acid or trichloroacetic acid. These are available in over-the-counter products, or in higher concentrations, may need to be prescribed by a physician.