An Indigenous Case of Intestinal Capillariasis with Protein-Losing Enteropathy in Korea.
- Author:
Woon Tae JUNG
1
;
Hyun Jin KIM
;
Hyun Ju MIN
;
Chang Yoon HA
;
Hong Jun KIM
;
Gyung Hyuck KO
;
Byoung Kuk NA
;
Woon Mok SOHN
Author Information
1. Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju 660-751, Korea.
- Publication Type:Case Reports
- Keywords:
Capillaria philippinensis;
intestinal capillariasis;
indigenous case;
protein-losing enteropathy
- MeSH:
Adult;
Albendazole/administration & dosage;
Animals;
Anthelmintics/administration & dosage;
Biopsy;
Capillaria/cytology/drug effects/*isolation & purification;
Diarrhea;
Enoplida Infections/drug therapy/parasitology/*pathology;
Feces/parasitology;
Female;
Helminthiasis/drug therapy/parasitology/*pathology;
Humans;
Intestinal Diseases, Parasitic/drug therapy/parasitology/*pathology;
Intestines/parasitology/pathology;
Male;
Protein-Losing Enteropathies/drug therapy/parasitology/*pathology;
Republic of Korea;
Treatment Outcome
- From:The Korean Journal of Parasitology
2012;50(4):333-337
- CountryRepublic of Korea
- Language:English
-
Abstract:
We encountered an indigenous case of intestinal capillariasis with protein-losing enteropathy in the Republic of Korea. A 37-year-old man, residing in Sacheon-si, Gyeongsangnam-do, admitted to the Gyeongsang National University Hospital (GNUH) due to long-lasting diarrhea, abdominal pain, anasarca, and weight loss. He recalled that he frequently ate raw fish, especially the common blackish goby (Acanthogobius flavimanus) and has never been abroad. Under the suspicion of protein-losing enteropathy, he received various kinds of medical examinations, and was diagnosed as intestinal capillariasis based on characteristic sectional findings of nematode worms in the biopsied small intestine. Adults, juvenile worms, and eggs were also detected in the diarrheic stools collected before and after medication. The clinical symptoms became much better after treatment with albendazole 400 mg daily for 3 days, and all findings were in normal range in laboratory examinations performed after 1 month. The present study is the 6th Korean case of intestinal capillariasis and the 3rd indigenous one in the Republic of Korea.
