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P revention пїЅ notto stroll barefootinareas wh ere h ookworm is com m onand wh ere th ere m ay be h um anfecal contam inationofth e soil пїЅ Infectioncanalso be prevented by notdefecating outdoor & by efficient sewage disposalsystem s Enterobius verm icularis the parasite пїЅ P inworm;sm all,wh ite spherical worm пїЅ h as a directlife cycle with no tissue m igrate ph ase пїЅ one ofth e m ostcom m onintestinalnem atodes пїЅ eggs are notresistantto desiccation:survive 6-12 h пїЅ eggs rem ainviable fora few weeks incolder, m ore h um id environm ents пїЅ th e adultworm s inh abitth e cecum & colon пїЅ + ~ 10 m m inlength > 3 m m пїЅ > dies righ tafterm ating пїЅ + m igrate outth e anus depositing eggs onth e perianalskin the parasite пїЅ h um ans getth is infectionby m outh & by autoinfection пїЅ h um ans are th e only species th atcan transferth is parasite пїЅ h ouseh old pets like canine & cats cannot becom e infected пїЅ eggs cansurvive inth e indoorenvironm ent for2-3 wk пїЅ incubationperiod of1 2 m onth s orlonger L ife cycle пїЅ infective eggs are ingested пїЅ th e larvae h atch inth e sm all intestine пїЅ th e adults set up th em selves inth e colon пїЅ th e tim e intervalfrom ingestionof infective eggs to ovipositionby th e adultfem ales is about4 wk пїЅ life spanofth e adults is ~ 8 wk пїЅ gravid + m igrate nocturnally exterior th e anus;crawling onth e skin пїЅ eggs are deposited onperianalfolds пїЅ th e larvae developinth e eggs пїЅ th e eggs becom e infective in4 6 h T ransm ission S elf-an infection:transferring infective eggs to th e m outh with h ands th ath ave scratch ed th e perianalarea P erson-to-person:th rough h andling ofcontam inated cloth es orbed linens,curtains,carpeting A irborne:som e eggs m ay be inh aled;swallowed and comply with th e sam e developm entas ingested eggs R etroinfection:orth e m igration ofnewly h atch ed larvae from th e analskinback into th e rectum S ym ptom s пїЅ 1/three ofpinworm infected persons are asym ptom atic пїЅ th e adultworm s m ay trigger sligh t irritation ofth e intestinalm ucosa пїЅ m ajorsym ptom is analpruritus пїЅ restlessness,nervousness,& irritability (resulting from poorsleep related to analpruritus) пїЅ in young girls:m igration ofth e worm s m ay produce vaginitis orgranulom a of th e peritonealcavity Diagnosis пїЅ depends onrecovery of th e ch aracteristiceggs пїЅ eggs & fem ale adults could be rem oved from th e folds ofth e skininth e perianal areas by th e use ofth e A dultP inworm s onth e perianalskin S cotch tape sw ab m eth od пїЅ Th e exam inationsh ould be m ade inth e m orning, before th e patienth as wash ed ordefecated C ase report пїЅ 35-year-old > presented com plaints of cram ps,diarrh oea,lowerabdom inal ache,m ild iron-deficiency anaem ia пїЅ with out: weigh tloss,nausea,vom iting orgastrointestinalbleeding пїЅ G astroscopy,colonoscopy,sm allbowel follow-th rough,laboratory data and faecalm icroscopy have been norm al пїЅ C apsule endoscopy:m ultiple sm alllive worm s had been identified пїЅ ~4m m long;swam inth e distaljejunum & ileum пїЅ H istopath ology:E verm icularis пїЅ Treatm ent:with A lbendaz ole four hundred m g once a day for3 days and iron supplem ents;sym ptom s h ad com pletely disappeared T reatm ent пїЅ P yrantelP am oat пїЅ C om bantrin,250 m g-tablets orS uspension пїЅ 1 x 11 m g/kg;repeatafter2 weeks пїЅ M ebendaz ol пїЅ P antelm in,100 m g-pills пїЅ 1 x 100 m g; repeatafter2 weeks пїЅ A lbendaz ol пїЅ Eskaz ole,four hundred m g-drugs пїЅ 1 x four hundred m g;repeatafter2 weeks пїЅ пїЅ th e m edicationdoes notkillalleggs пїЅ th e second dose preventre-infection by adultworm s th ath atch from any eggs notkilled by th e firsttreatm ent пїЅ inh ouseh olds wh ere m ore th anone m em beris infected itis recom m ended th at allh ouseh old m em bers be treated atth e sam e tim e L ym ph atic filariasis K ey details пїЅ W uch ereria bancrofti:(90% ofth e instances) пїЅ B rugia m alayi пїЅ B. 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