Capillaria philippinensis

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Life cycle

Eggs --> 1st stage larvae (36-150 micro metre) --> 2nd stage larvae (411-500 micro metre) --> Infective larvae --> AdultsLife cycle in nature: Fish --> Bird --> Fish Human became accidentally involved.

Clinical features

Abdominal pain, diarrhea, anorexia, nausea, vomiting, muscle wasting, cardiac failure and hypotension. Produce severe disease which may lead to death. The mortality is around 20% within untreated cases.

Differential Diagnosis

Examination of eggs, larvae and adults in feces

Treatment

1. Thiabendazole, 25mg/kg for 30 days2. Mebendazole, 400mg/day for 15-20 days3. Albendazole

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