Microbiology
A parasite. Capillaria hepatica and Capillaria philippinensis.
Epidemiologic Risks
Capillaria hepatica: eating dirt. Found in rats.
Capillaria philippinensis. Found in Philippines and Thailand, eating raw freshwater fish is the main risk, Gollum beware.
Syndromes
Capillaria hepatica: liver disease.
Diarrhea and gas with malabsorption.
Treatment
Long courses of either albendazole or ivermectin has been curative of gi intestinal disease (PubMed). Mebendazole, 200 mg po bid x 20 days preferred over thiabendazole, 25 mg/kg for 30 days.
Notes
Last update: 05/05/18