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ENTEROBIASIS

ETIOLOGY: ENTEROBIUS
VERMICULARIS

PATHOGENESIS
-

ENTEROBIUS CAUSES MECHANICAL INJURY TO THE


COLONIC MOCOSA

THE 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)


A. SYMPTOMS

- >> ASYMPTOMATIC
- PERIANAL PRURITUS ( PARTICULARLY 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)
A. 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 MEASURES

TREATMENT WITH THE FOLLOWING DRUGS SHOULD BE


REPEATED AT 2 AND 4 WEEKS:
1. ALBENDAZOLE, A SINGLE 400 MG DOSE
2. MEBENDAZOLE AS A SINGLE 100/200 MG DOSE
3. 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