Capilariasis

Question 1

Cappillaria Philippines

Answer 1

Intestinal capillariasis
Fish eating birds- definitive host
Fish- intermidiate host

Question 2

Hepatic capilariasis

Answer 2

Liver tissue
Rats and rodents

Question 3

Life cycle of capillaria Philippines

Answer 3

1. Unembryonated thick shelled eggs passed in faeces
2. Eggs become embryonated in water
3. Infective develop in tissue of intermidiate host - fish
4. Ingestion of raw undercooked infected fish
5. Adults in small intestinal mucosa
6. Females may produce two types of eggs embryonated and unembryonated
7. Larvae reinfect

Question 4

Clinical features

Answer 4

Enteropathy, malabsorption, fluid electrolyte and plasma protein loss
Anorexia
Abdominal pains
Severe protein loosing enteropathy
Cachexia
Dehydration
Anasarca
Serious cases may be fatal in 2 weeks to 2 months

Question 5

Diagnosis

Answer 5

Double barreled and bipolar plugs: less prominent than T. Trichiura - C. Hepatica

Adult/larvae in stool- c. Philippines
Eggs/adult in liver biopsy- c. Hepatica

Question 6

Treatment

Answer 6

Albendazole
Mebendazole