Human intestinal capillariasis: diagnosis by jejunal fluid analysis obtained at enteroscopy and reversal of subtotal villous atrophy after treatment

Rana, Surinder Singh; Bhasin, Dinkar; Bhatti, Harsimrandeep; Gupta, Kunal; Gupta, Rajesh; Nada, Ritambhra; Nagi, B; Sinha, S. K.; Singh, Kelita

doi:10.1055/s-0028-1119609

Cited by 9 publications

(6 citation statements)

References 2 publications

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“…The fi rst case from India was reported by Kang et al in 1994 from Vellore [6] and the second case by Rana et al in 2009 from Chandigarh. [7] This is the third case report from India and the fi rst case from Andhra Pradesh to the best of our knowledge. The fi rst case of human intestinal capillariasis occurred in 1962 in a healthy young man from Luzon (Philippines), who subsequently died.…”

Section: Discussionmentioning

confidence: 74%

Human intestinal capillariasis: A rare case report from non-endemic area (Andhra Pradesh, India)

Vasantha

Girish

Leela

2012

Indian Journal of Medical Microbiology

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Human intestinal capillariasis is caused by Capillaria philippinensis. This disease is endemic in Philippines and Thailand. To the best of our knowledge, we report the third case of human intestinal capillariasis from India and the first case from Andhra Pradesh, which is a non-endemic area. A 40-year-old female presented with diarrhoea, vomiting, decreased urinary output, ascitis, pedal oedema, hypoalbuminemia, and electrolyte imbalance. Microscopic examination of stool sample revealed the presence of ova, larvae, and adult worms of C. philippinensis. Patient recovered from the disease after taking albendazole 400 mg daily for 1 month along with supportive treatment.

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Section: Discussionmentioning

confidence: 74%

Human intestinal capillariasis: A rare case report from non-endemic area (Andhra Pradesh, India)

Vasantha

Girish

Leela

2012

Indian Journal of Medical Microbiology

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“…In India, the first case was reported in a 45 year old female patient in the year 1994, by Kang et al from Vellore 4 . Following this, 2 more cases have been reported 5,6 .…”

Section: Discussionmentioning

confidence: 88%

Human Intestinal Capillariasis: A Rare Cause of Chronic Diarrhoea In India

Usman¹

2021

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Human intestinal capilliariasis is a disease endemic to the Philippines and Thailand 1,2 . The disease causing agent, Capillaria philippinensis is an intestinal nematode belonging to the superfamily, Trichinelloidae. Infection ensues as a result of ingestion of raw or insufficiently cooked fish, harboring larvae. Small intestine, especially the jejunum is usually the affected organ, resulting in chronic diarrhea, malabsorption, abdominal pain and borborgymi. It may be misdiagnosed as malabsorption disorder in non-endemic areas, especially since the eggs are excreted sporadically in feces and maybe missed unless multiple samples are examined. Microscopic examination of jejunal biopsy and aspirated content may help establish the diagnosis. India is non endemic for C. philippinensis infestation. To our knowledge, this is the fourth reported case of Capillariasis from India.

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“…Invasive and highcost diagnostic tools can assist clinicians (i.e., endoscopy and imaging). 34,35 Here, we revealed another highly effective tool for diagnosis. Albendazole treatment could increase the sensitivity of stool examination methods for diagnosis of intestinal capillariasis.…”

Section: Discussionmentioning

confidence: 93%

A Hospital-Based Study of Intestinal Capillariasis in Thailand: Clinical Features, Potential Clues for Diagnosis, and Epidemiological Characteristics of 85 Patients

Sadaow

Sanpool

Intapan

et al. 2018

The American Journal of Tropical Medicine and Hygiene

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Intestinal capillariasis caused by , a fish-borne nematode, is an important, emerging zoonotic helminthiasis. Cases may be fatal if suitable treatment is not administered in time. We reported a hospital-based study of 85 cases in Thailand, most of which were in the northeast. All patients had a history of eating raw or insufficiently cooked fresh water fish or prawns. The clinical manifestations are characterized by chronic diarrhea, borborygmi, abdominal pain, marked weight loss, muscle weakness, fatigue, dizziness, anorexia, and edema, as well as protein and electrolyte loss. Fecal examination revealed in all patients. Although 16 of the total of 85 (18.8%) cases were initially found to be negative for using fecal examination, further examination using an immunoblotting technique found them to be positive for the IgG antibody against larval antigen. One day after administration of 400 mg of albendazole, eggs and/or larvae and/or adult were found in 16 fecal samples. After treatment with mebendazole (200 mg twice a day for 30 days) or albendazole (200 mg twice a day for 10 days), all 85 patients recovered. The potential clues for diagnosis are clinical manifestations, history of eating raw contaminated food, and positive serological test, and fecal examinations under professional. Administration of anthelminthic drugs stimulates the excretion of larvae, eggs, and/or adult worms and can be used as a supportive method for the diagnosis of intestinal capillariasis in areas where serological test is not available.

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Human intestinal capillariasis: diagnosis by jejunal fluid analysis obtained at enteroscopy and reversal of subtotal villous atrophy after treatment

Cited by 9 publications

References 2 publications

Human intestinal capillariasis: A rare case report from non-endemic area (Andhra Pradesh, India)

Human intestinal capillariasis: A rare case report from non-endemic area (Andhra Pradesh, India)

Human Intestinal Capillariasis: A Rare Cause of Chronic Diarrhoea In India

A Hospital-Based Study of Intestinal Capillariasis in Thailand: Clinical Features, Potential Clues for Diagnosis, and Epidemiological Characteristics of 85 Patients

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