Human intestinal capillariasis (Capillaria philippinensis) in Taiwan

Li-Hua Lu1, Mau-Roung Lin, Wai-Mau Choi

  • 1Department of Emergency Medicine, Mackay Memorial Hospital, Hsinchu Branch, Taiwan.

Insights

Taiwan has become a Capillaria-prevalent area, with 30 intestinal capillariasis cases reported between 1983-2003. Affected populations included aboriginal tribes, males, and the elderly, but all patients recovered with treatment.

Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Public Health

Background:

  • Capillaria philippinensis, a nematode, causes intestinal capillariasis.
  • The parasite was first identified in the Philippines in 1963, with subsequent outbreaks in the Philippines and Thailand.
  • Taiwan has documented intestinal capillariasis cases, indicating its presence in the region.

Purpose of the Study:

  • To review intestinal capillariasis cases in Taiwan from 1983 to 2003.
  • To identify demographic and epidemiological characteristics of infected individuals.
  • To understand the prevalence and patterns of Capillaria philippinensis infection in Taiwan.

Main Methods:

  • Retrospective review of 30 intestinal capillariasis cases diagnosed in Taiwan between January 1983 and December 2003.
  • Analysis of patient data, including demographics, tribal affiliation, and diagnostic methods.
  • Inclusion of histopathological findings from biopsied specimens for nine cases.

Main Results:

  • Taiwan reported 30 cases of intestinal capillariasis between 1983 and 2003, with infections occurring annually except in 1984 and 2002.
  • High prevalence was observed in two Taiwanese aboriginal tribes (Ami and Paiwan), as well as in males and the elderly.
  • Nine cases were confirmed via histopathological examination of biopsied specimens; approximately half denied consuming raw or undercooked fish.

Conclusions:

  • Taiwan is considered a Capillaria-prevalent area based on the documented cases.
  • Specific demographic groups, including aboriginal populations, males, and the elderly, are at higher risk.
  • All diagnosed cases demonstrated a favorable prognosis, achieving full recovery after medical treatment without mortality or recurrence.

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