ENTEROBIASIS

ETIOLOGY: ENTEROBIUS
VERMICULARIS
(Intestinal Helminthiasis)

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)

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)
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 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