It is found that the aboriginal elderly in Taiwan often prefer traditional food named Chou-Bao, which is made by soaking small raw fish in homemade fermented millet. The raw fish could facilitate the transmission of Capillaria philippinensis. Unfortunately, we could not verify the number of cases that resulted from consuming Chou-Bao, due to a lack of information from patient records. It is noted that the transmission of Capillaria philippinensis in the Philippines is considered to be related to a traditional dish named Kinilaw (orKilawin), which is primarily made of raw pilchard fish. Due to the fact that the Taiwanese cases have been sporadic, it has been difficult to study the route of transmission. Hwang examined fish from fish markets in Kaohsiuing and Taitung but found no presence of Capillaria philippinensis.
Dronda and others found that a diagnosis of intestinal capillariasis in the nonepidemic areas is more likely to be delayed, so they emphasized that clinicians in those areas should remain highly alert for any sign of disease outbreak. Reports of delayed diagnoses for more than a year have been found in Japan,20 Korea,21 Egypt,16 and India.22 Among the 30 Taiwanese cases, 8 patients were not confirmed with infection until 1 year later. It is noticeable that five of 8 delayed cases were among the first 8 cases. The physicians and medical technologists in clinical practice should be more trained in diagnosing this disease.
It is found that the aboriginal elderly in Taiwan often prefer traditional food named Chou-Bao, which is made by soaking small raw fish in homemade fermented millet. The raw fish could facilitate the transmission of Capillaria philippinensis. Unfortunately, we could not verify the number of cases that resulted from consuming Chou-Bao, due to a lack of information from patient records. It is noted that the transmission of Capillaria philippinensis in the Philippines is considered to be related to a traditional dish named Kinilaw (orKilawin), which is primarily made of raw pilchard fish. Due to the fact that the Taiwanese cases have been sporadic, it has been difficult to study the route of transmission. Hwang examined fish from fish markets in Kaohsiuing and Taitung but found no presence of Capillaria philippinensis.
Dronda and others found that a diagnosis of intestinal capillariasis in the nonepidemic areas is more likely to be delayed, so they emphasized that clinicians in those areas should remain highly alert for any sign of disease outbreak. Reports of delayed diagnoses for more than a year have been found in Japan,20 Korea,21 Egypt,16 and India.22 Among the 30 Taiwanese cases, 8 patients were not confirmed with infection until 1 year later. It is noticeable that five of 8 delayed cases were among the first 8 cases. The physicians and medical technologists in clinical practice should be more trained in diagnosing this disease.
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