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
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
