title: Serious diarrhea with weight loss caused by Capillaria philippinensis acquired in China: a case report.
abstract: BACKGROUND
  Diarrhea caused by Capillaria philippinensis (C. philippinensis) has not been reported in any areas with the exception of Taiwan province in China. We herein report the misdiagnosis and subsequent management of a patient with diarrhea caused by C. philippinensis.
  
  
  METHODS
  A 33-year-old woman from the outskirts of Danzhou city, Hainan province, China, had an 11-month history of chronic diarrhea with abdominal pain, edema, hypoalbuminemia, and severe weight loss. The patient was misdiagnosed at an outpatient clinic and one hospital. She was finally correctly diagnosed with C. philippinensis by stool examination. The patient was given a 30-days course of albendazole (400 mg/day) and had an uneventful and stable recovery.
  
  
  CONCLUSIONS
  Doctors cannot lose sight of patients' dietary histories, must query stool examination results, and need to expand their knowledge of certain nonlocal and global diseases, especially those described in new case reports. Some diagnostic examinations must be performed repeatedly. Hainan province may be the epidemic focus of C. philippinensis.
authors.affiliation: School of tropical and laboratory medicine, Hainan Medical University, Haikou, China. yuyanghoutu2006@yahoo.com.cn
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Fan
authors.forename: Yongdong
authors.initials: Y
authors.lastname: Huang
authors.forename: Shiyun
authors.initials: S
authors.lastname: Qian
authors.forename: Gang
authors.initials: G
authors.lastname: Lv
authors.forename: Yiyao
authors.initials: Y
authors.lastname: Chen
authors.forename: Bo
authors.initials: B
authors.lastname: Yang
authors.forename: Saifeng
authors.initials: S
authors.lastname: Zhong
authors.forename: Guifen
authors.initials: G
authors.lastname: Lin
authors.forename: Guogang
authors.initials: G
authors.lastname: Yan
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000969:Antinematodal Agents / Q000627:therapeutic use; D002195:Capillaria / Q000302:isolation & purification*; D002681:China; D003531:Cypriniformes / Q000469:parasitology; D003951:Diagnostic Errors; D003967:Diarrhea / Q000209:etiology / Q000469:parasitology* / Q000628:therapy; D017189:Enoplida Infections / Q000175:diagnosis / Q000469:parasitology* / Q000628:therapy; D005243:Feces / Q000469:parasitology; D005260:Female; D005506:Food Contamination; D006801:Humans; D011237:Predictive Value of Tests; D017747:Seafood / Q000469:parasitology; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D000969:Antinematodal Agents; D015766:Albendazole