Hwang K P
Department of Pediatrics, Kaohsiung Medical College, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Mar-Apr;39(2):82-5.
A human case of intestinal capillariasis was first recognized in the Philippines in the mid-1960s. The parasitosis is a life threatening disease and has been reported from Thailand, Japan, Taiwan. Korea, Iran, and Egypt. Clinical symptoms include diarrhea, abdominal pain, borborygmi, marked weight loss, protein and electrolyte loss, and cachexia. Capillariasis may be fatal if treatment is not given early. We observed 7 cases living in the more rural areas of Taiwan. Two cases had histories of travelling to Thailand. These two cases might have been infected in Thailand while stayed there. The other 5 cases didn't have histories of going abroad. According to the route of transmission, freshwater and brackish-water fish may act as the intermediate host of the parasite. People who like to eat raw fish, and have had long term diarrhea with abdominal pain and borborygmi, capillariasis philippinensis should be highly suspected. The most simple and convenient method of diagnosing capillariasis is stool examination. Treatment with mebendazole or albendazole for 20-30 days is known to be effective. All 7 cases we observed were cured through adequate treatment with anthelmintics and general management. A case, found in Kaohsiung Medical College Hospital in 1983, may be the first case in Taiwan.
20世纪60年代中期，菲律宾首次确认了一例人体肠道毛细线虫病病例。这种寄生虫病是一种危及生命的疾病，泰国、日本、台湾、韩国、伊朗和埃及均有报告。临床症状包括腹泻、腹痛、腹鸣、体重显著减轻、蛋白质和电解质流失以及恶病质。如果不及早治疗，毛细线虫病可能会致命。我们观察了7例居住在台湾较偏远农村地区的病例。其中2例有前往泰国旅行的经历。这两例可能是在泰国停留期间被感染的。另外5例没有出国史。根据传播途径，淡水鱼和咸淡水鱼可能是该寄生虫的中间宿主。喜欢吃生鱼，且长期腹泻、伴有腹痛和腹鸣的人，应高度怀疑感染了菲律宾毛细线虫病。诊断毛细线虫病最简单便捷的方法是粪便检查。已知使用甲苯咪唑或阿苯达唑治疗20 - 30天有效。我们观察的所有7例病例通过使用驱虫药进行充分治疗和一般护理均已治愈。1983年在高雄医学院附属医院发现的一例病例，可能是台湾的首例病例。
