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Enterobiasis
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ENTEROBIASIS ETIOLOGY: ENTEROBIUS VERMICULARIS
PATHOGENESIS
ENTEROBIUS CAUSES MECHANICAL INJURY TO THE COLONIC MOCOSATHE GRAVID FEMALE PINWORMS, DETACHED FROM THE COLONIC MUCOSA, ACTIVELY PASS OUT OF THE ANUS AND LAY STICKY EGGS COVER THE PERIANAL SKIN PRURITUS ANI PERIANAL ECZEMATOUS DERMATITIS
CLINICAL FINDINGS (1)
SYMPTOMS- >> ASYMPTOMATIC- PERIANAL PRURITUS ( PARTICULARLI AT NIGHT)- INSOMNIA- RESTLESSNESS- ENURESIS NGOMPOL- IRRITABILITY- SCOWLING SENSATION IN THE ANAL AREA
CLINICAL FINDINGS (2)
B. SIGNS- PERIANAL SCRATCHING EXCORIATION & IMPETIGO - VULVOVAGITINIS- DIVERTICULITIS- APPENDICITIS- CYSTITIS- GRANULOMATOUS REACTIONS- COLONIC ULCERATION
TREATMENT(1)
GENERAL MEASURES- THE PATIENTS HOUSEHOLD SHOULD BE TREATED CONCURENTLY/SIMULTANIOUSLY- CAREFUL WASHING OF HANDS WITH SOAP & WATER AFTER DEFECATION & AGAIN BEFORE MEALS- FINGERNAILS SHOULD BE KEPT- ORDINARY WASHING OF BEDDING
TREATMENT (2)
B. SPESIFIC MEASURESTREATMENT WITH THE FOLLOWING DRUGS SHOULD BE REPEATED AT 2 AND 4 WEEKS:1. ALBENDAZOLE, A SINGLE 400 MG DOSE2. MEBENDAZOLE AS A SINGLE 100 MG DOSE3. PYRANTEL PAMOATE, 10 MG/KGBW (MAX. 1 GR)4. PIPERAZINE
PROGNOSIS
- THE INFECTION IS ANNOYING, BUT BENIGN - CURE IS ATTAINABLE WITH EFFECTIVE DRUGS - REINFECTION IS COMMON - SELF-LIMITING INFECTION
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