Intestinal Nematodes - CAPILLARIA PHILIPPINENSIS

Question 1

Pudoc Worm/Capillariasis/Mystery Disease/Wasting Disease

Only nematode whose life cycle involves a MIGRATORY BIRD

Answer 1

Capillaria philippinensis

• SMALL intestine
• ingestion of infected fish w/ L3 larvae

Question 2

Diagnostic test for Capillaria philippinensis

Answer 2

Direct Fecal Smear
Kato-Katz Technique
*PEANUT SHAPED EGGS W/ FLATTENED BIPOLAR PLUGS

*unembryonated egg

Question 3

Pathogenesis of Capillaria philippinensis

Answer 3

embryonated eggs can cause AUTOINFECTION and HYPERINFECTION

ulcerative and compressive degeneration of enterocytes – SEVERE MALNUTRITION

Question 4

ACUTE DISEASE

Answer 4

Borborygmi (gurgling sounds)

fever, abdominal pain, eosinophilia

Question 5

CHRONIC DISEASE

Answer 5

chronic watery diarrhea
edema, wasting
PROTEIN LOSING ENTEROPATHY
HYPOGAMMAGLOBULINEMIA

Question 6

Treatment for Capillaria philippinensis

Answer 6

Albendazole