Pinworm: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Nocturnal perianal itch | *Nocturnal perianal itch | ||
*Sometimes [[vulvovaginitis]] and dysuria in young females | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Helminth Types}} | {{Helminth Types}} | ||
== | ==Evaluation== | ||
*Cellophane tape test to be followed up as outpatient | *Cellophane tape test to be followed up as outpatient | ||
*Tape contents need to be spread on slide, viewed under microscope in toluene | |||
==Management== | ==Management== | ||
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*Elliot, D: Feldman: Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., Saunders, 2010, (Ch)110 p:1928 | *Elliot, D: Feldman: Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., Saunders, 2010, (Ch)110 p:1928 | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:GI]] | |||
Revision as of 17:17, 17 October 2018
Background
Enterobius vermicularis
Clinical Features
- Nocturnal perianal itch
- Sometimes vulvovaginitis and dysuria in young females
Differential Diagnosis
Helminth infections
Cestodes (Tapeworms)
- Taenia saginata
- Taenia solium (Cysticercosis)
- Diphyllobothrium latum
- Hymenolepis nana
- Echinococcus granulosus
Trematodes (Flukes)
- Fasciola hepatica
- Fasciolopsis buski
- Opistorchis viverrini
- Schistosoma spp
- Chlonorchis sinensis
- Paragonimus spp.
Nematodes (Roundworms)
- Ascaris lumbricoides
- Enterobius vermicularis (Pinworm)
- Filarial worms
- Hookworm
- Necator americanus
- Ancylostoma duodenale
- Cutaneous larva migrans (Ancylostoma braziliense)
- Dracunculiasis
- Strongyloides stercoralis
- Trichuris trichiura (Whipworm)
- Anisakis
- Toxocara spp.
- Trichinosis
Evaluation
- Cellophane tape test to be followed up as outpatient
- Tape contents need to be spread on slide, viewed under microscope in toluene
Management
Treatment targeted against Enterobius vermicularis; All family members should be treated at the same time
Adult
- Mebendazole 100mg PO once, THEN repeat in 2 weeks OR
- Okay during breastfeeding[1]
- Albendazole 400mg PO once, THEN repeat in 2 weeks OR
- Pyrantel Pamoate (Pin-x) 11mg/kg (max 1g), THEN repeat in 2 weeks
- First choice for pregnant patients
- Treat in pregnancy only if the infection is compromising the pregnancy (i.e. weight loss, sleeplessness); withhold until the 3rd trimester if possible.[2]
- First choice for pregnant patients
Pediatric
- 2 years or older:
- Mebendazole 100mg PO once, THEN repeat in 2 weeks OR
- Albendazole 400mg PO once, THEN repeat in 2 weeks OR
- <2 years
- Albendazole 200 mg PO once, THEN repeat in 2 weeks
Consider treatment for the household.
Disposition
Discharge with oral treatment
See Also
External Links
References
- ↑ CDC Resources for Health Professionals. Accessed 5/9/2021. https://www.cdc.gov/parasites/pinworm/health_professionals/index.html
- ↑ CDC Resources for Health Professionals. Accessed 5/9/2021. https://www.cdc.gov/parasites/pinworm/health_professionals/index.html
- Kost,S.: Pinworms In Fleisher and Ludwig's 5-Min Pediatric Emergency Consult, Lippincot WIlliams & Wilkins, Pages 748-749
- Elliot, D: Feldman: Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., Saunders, 2010, (Ch)110 p:1928