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Open Access Highly Accessed Case Report

Serious diarrhea with weight loss caused by Capillaria philippinensis acquired in China: a case report

Zhigang Fan1*, Yongdong Huang2, Shiyun Qian1, Gang Lv1, Yiyao Chen2, Bo Yang2, Saifeng Zhong1, Guifen Lin1 and Guogang Yan3

Author Affiliations

1 School of tropical and laboratory medicine, Hainan Medical University, Haikou, China

2 Department of Digestive Diseases, People’s Hospital of Hainan province, Haikou, China

3 School of nursing Hainan medical college, Haikou, China

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BMC Research Notes 2012, 5:554  doi:10.1186/1756-0500-5-554

Published: 5 October 2012

Abstract

Background

Diarrhea caused by Capillaria philippinensis (C. philippinensis) has not been reported in any areas with the exception of Taiwan province in China. We herein report the misdiagnosis and subsequent management of a patient with diarrhea caused by C. philippinensis.

Case presentation

A 33-year-old woman from the outskirts of Danzhou city, Hainan province, China, had an 11-month history of chronic diarrhea with abdominal pain, edema, hypoalbuminemia, and severe weight loss. The patient was misdiagnosed at an outpatient clinic and one hospital. She was finally correctly diagnosed with C. philippinensis by stool examination. The patient was given a 30-days course of albendazole (400 mg/day) and had an uneventful and stable recovery.

Conclusion

Doctors cannot lose sight of patients’ dietary histories, must query stool examination results, and need to expand their knowledge of certain nonlocal and global diseases, especially those described in new case reports. Some diagnostic examinations must be performed repeatedly. Hainan province may be the epidemic focus of C. philippinensis.

Keywords:
Diarrhea; Intestinal capillariasis; Capillaria philippinensis; China