| ID | 197 |
|---|---|
| Name | ENTEROBIASIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | Diagnosis: Adult worms may be found in the stool on naked eye examination. Swabs taken from perianal skin may be examined for eggs. Ova are detected by applying the adhesive surface of cellophane tape to the perianal skin in the morning. This is then examined on a glass slide under the microscope. |
| Investigations | |
| Management | |
| Introduction | Enterobius vermicularis, a short spindle shaped roundworm often called the pinworm is more common in children. Humans are the only host for the parasite. Mode of transmission: The gravid female worm lays ova around the anus, specially at night. The ova are often carried to the mouth by the fingers and so reinfection takes place. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: Perianal pruritus specially at night is the most common symptom. There may be mild gastrointestinal symptoms e.g. abdominal pain, nausea, vomiting, diarrhoea, or constipation. Rarely there may be appendicitis, vulvovaginitis and urethritis. |
| Preventions | |
| Treatment | Treatment: 1. Piperazine compounds- (adult & child) 100mg/ kg in a single dose. Or, 2 Mebendazole 100mg as a single dose orally and repeat after 2 wks. 3. Where infection constantly recurs in a family, each member should be treated with mebendazole 100mg twice daily tor 3 days. Repeat after 10-14 days. During this period all night clothes and bed linen are laundered. Or, 4. Albendazole 400mg (2 tabs, or 1 DS tab.) as a single dose in adult & children over 2 years. Under 2 years a single dose of 200mg is effective in common infections. A second course may be given after 3 wks. if not cured. 5. Nails should be kept short, bitting of nails forbidden and the hands should be washed carefully |
| Complications | |
| Prognosis | |
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