Clinical features of human intestinal capillariasis in Taiwan.
Human intestinal capillariasis is a rare parasitosis that was first recognized in the Philippines in the 1960 s. Parasitosis is a life threatening disease and has been reported from Thailand, Japan, South of Taiwan (Kaoh-Siung), Korea, Iran, Egypt, Italy and Spain. Its clinical symptoms are characterized by chronic diarrhea, abdominal pain, borborygmus, marked weight loss, protein and electrolyte loss and cachexia. Capillariasis may be fatal if early treatment is not given. We reported 14 cases living in rural areas of Taiwan. Three cases had histories of travelling to Thailand. They might have been infected in Thailand while stayed there. Two cases had the diet of raw freshwater fish before. Three cases received emergency laparotomy due to peritonitis and two cases were found of enteritis cystica profunda. According to the route of transmission, freshwater and brackish-water fish may act as the intermediate host of the parasite. The most simple and convenient method of diagnosing capillariasis is stool examination. Two cases were diagnosed by histology. Mebendazole or albendezole 200 mg orally twice a day for 20-30 d is the treatment of choice. All the patients were cured, and relapses were not observed within 12 mo.
Department of Gastroenterology, Mackay Memorial Hospital, Taitung Branch, 1, Lane 303 Chang-Sha St. Taitung, Taiwan, China. library@ttms.mmh.org.tw
Ming-Jong
MJ
Bair
Kao-Pin
KP
Hwang
Tsang-En
TE
Wang
Tai-Cherng
TC
Liou
Shee-Chan
SC
Lin
Chin-Roa
CR
Kao
Tao-Yeuan
TY
Wang
Kwok-Kuen
KK
Pang
D000328:Adult; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D002195:Capillaria / Q000302:isolation & purification*; D017189:Enoplida Infections / Q000453:epidemiology* / Q000473:pathology; D005243:Feces / Q000469:parasitology; D005260:Female; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000453:epidemiology* / Q000473:pathology; D007413:Intestinal Mucosa / Q000469:parasitology / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D013624:Taiwan / Q000453:epidemiology
D000871:Anthelmintics; D015766:Albendazole