c/o perianal worms+

4yrs male child c/o itching over perianal region,worms present over the anal,perianal region .Rx and dx

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Seems to be PINWORM infestation. However rule out Whipworm infestation taking h/o Bloody diarrhoea, Vomiting, Pain abdomen, Weight loss. Rx. 1. General measures : -Ask for washing of hands frequently specially before and after meals. -Ask to avoid scratching of anal area, licking/sucking of fingers, walking bare foot, deficating in open field. 2. Medication : -Treat all the family members simultaneously who are above 2 Yrs old. -Antihistaminic of choice to relieve itching. -For Pinworm use any one of the following (adult dose above 2 Yrs) ..... (a) Mebendazole 100 mg single dose (use restricted due to bone marrow suppression in some) (b) Albendazole 400 mg single dose (safest) (c) Pyrantal Palmoate - 11 mg per kg with maximum of 500 mg single dose. Dose can be repeated after 3 weeks if needed. ** For Whipworm Mebendazole is preferred. Which is given 100 mg BD for 3 days. May be repeated after 3 weeks.

Thank you doctor

Deworming is necessary with albendazole ivermectin nitazoxanide Every six month deworming necessary


Typical enterobius vermicularis Seen Rx albendazole 400mg suspension Daily for 3days Adv personal hygiene

Enterobius vermicularis.

Enterobius vermicularibandyplus

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