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Published on: August 27, 2019
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.
Abstract:
Capillaria philippinensis was first reported in 1963 in the Philippines. Major outbreaks have occurred in the Philippines and Thailand. This article reviews the known 30 intestinal capillariasis cases in Taiwan from January 1983 to December 2003. The infected cases were diagnosed each year with the exception of 1984 and 2002, making Taiwan a Capillaria-prevalent area. Two Taiwanese aboriginal tribes, the Ami and Paiwan, presented a high prevalence. The males and elderly also had a high infection rate. Nine cases were diagnosed by histopathological biopsied specimens. About half of the 30 cases denied having consumed raw or undercooked fish. All cases recovered to health after receiving medication, with no deaths or recurrences.
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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