Volume 72, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


We report the first case of hepatic capillariasis in Maine. The patient was a 54-year-old male carpenter who presented with a subacute history of severe abdominal pain, fevers, and weight loss. Initial diagnostic studies suggested a hepatic mass associated with para-aortic lymphadenopathy. The patient underwent open laparotomy for resection of the mass. He was found to have an eosinophilic granuloma in the liver; further evaluation revealed degenerating . The exact route of infection in this case is unknown but is most likely due to accidental ingestion of soil contaminated with mature capillaria eggs. This patient had a low parasite burden and did not exhibit significant peripheral eosinophilia. After treatment with thiabendazole, he recovered uneventfully.


Article metrics loading...

Loading full text...

Full text loading...



  1. Gutierrez Y, 2000. Diagnostic Pathology of Parasitic Infections with Clinical Correlations. New York: Oxford University Press, 507–519.
  2. Choe G, Lee HS, Seo JK, Chai JY, Lee SH, Eom KS, Chi JG, 1993. Hepatic capillariasis: first case report in the Republic of Korea. Am J Trop Med Hyg 48 : 610–625.
  3. Kaplan KJ, Goodman ZD, Ishak KG, 2001. Eosinophilic granuloma of the liver: a characteristic lesion with relationship to visceral larva migrans. Am J Surg Pathol 25 : 1316–1321.
  4. Kohatsu H, Zaha O, Shimada K, Chibana T, Yara I, Shimada A, Hasegawa H, Sato Y, 1995. A space-occupying lesion in the liver due to Capillaria infection. Am J Trop Med Hyg 52 : 414–418.
  5. Attah EB, Nagarajan S, Obineche EN, Gera SC, 1983. Hepatic capillariasis. Am J Clin Pathol 79 : 127–130.
  6. Luttermoser GW, 1936. A helminthological survey of Baltimore house rats (Rattus norvegicus). Am J Hyg 24 : 350–360.
  7. McQuown A, 1950. Capillaria Hepatica: Report of genuine and spurious cases. Am J Trop Med 30 : 761–767.
  8. Otto GF, Berthrong M, Appleby RE, Rawlins JC, Wilbur O, 1954. Eosinophilia and hepatomegaly due to Capillara hepatica infection. Bull Johns Hopkins Hosp 94 : 319–336.
  9. Ward RL, Dent JH, 1959. Capillaria hepatica infection in a child. Bull Tulane Med Fac 19 : 27–33.
  10. Calle S, 1961. Parasitism by Capillaria hepatica. Pediatrics 27 : 648–655.
  11. Ewing GM, Tilden LL, 1956. Capillaria hepatica: Report of the fourth case of true human infestation. J Pediatrics 48 : 341–348.

Data & Media loading...

  • Received : 04 Aug 2004
  • Accepted : 06 Nov 2004

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error