Abd_ElSalam, N., Hassany, S., Medhat, A., Hussein, H., Blum, H. (2012). . EKB Journal Management System, 7(1), 10-13.
Nadia Abd_ElSalam; Sahar M. Hassany; Ahmed Medhat; Howida I. Hussein; Hubert E. Blum. "". EKB Journal Management System, 7, 1, 2012, 10-13.
Abd_ElSalam, N., Hassany, S., Medhat, A., Hussein, H., Blum, H. (2012). '', EKB Journal Management System, 7(1), pp. 10-13.
Abd_ElSalam, N., Hassany, S., Medhat, A., Hussein, H., Blum, H. . EKB Journal Management System, 2012; 7(1): 10-13.

Journal of the Arab Society for Medical Research
Volume 7, Issue 1, January 2012, Pages 10-13    PDF (506.92 K)
Authors
Nadia Abd_ElSalam; Sahar M. Hassany; Ahmed Medhat; Howida I. Hussein; Hubert E. Blum
Abstract
Background/aim

is a rare zoonotic intestinal parasite that is endemic in Philippines and Thailand. A few cases have been reported in Japan, Iran, Egypt, and Taiwan. The outcome of may be fatal if untreated in due time. is an emerging infection in Egypt as a cause of chronic diarrhea; thus, we carried out this study to determine the presence and frequency of in patients with chronic diarrhea in Upper Egypt.
Patients and methods
The study included 113 patients with chronic diarrhea attending the Department of Tropical Medicine and Gastroenterology, Assiut University Hospital. All patients were subjected to full history taking, clinical examination, and laboratory investigations including stool examination, complete blood count, and assessment of blood urea and serum creatinine, serum albumin, and electrolytes (sodium, potassium, and calcium). Also, gastroduodenoscopy, duodenal biopsy for histopathological examination, and colonoscopy were performed for every patient.
Results

was reported in seven patients. All of them were young female patients with severe chronic diarrhea, associated with vomiting, abdominal pain, anorexia, borborygmi, weight loss, and ankle edema; three patients had mild ascites. The seven patients had hyponatremia, hypocalcemia, marked hyokalemia, and hypoalbuminemia. The diagnosis of was established on finding the characteristic egg of in the stool of all cases; histopathological examination of the duodenal biopsies indicated heavy cellular infiltration around the adult worm in one of them and larvae in another one. Six patients recovered completely with albendazole treatment 200 mg twice daily for 21 days, whereas one patient died of heart failure because of severe hypoalbuminemia and hypokalemia.
Conclusion
Capillariasis is one of the parasitic causes of chronic nonbloody diarrhea in patients in Upper Egypt.
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