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P revention � 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 � Infectioncanalso be prevented by notdefecating outdoor & by efficient sewage disposalsystem s Enterobius verm icularis the parasite � P inworm;sm all,wh ite round worm � h as a directlife cycle with no tissue m igrate ph ase � one ofth e m ostcom m onintestinalnem atodes � eggs are notresistantto desiccation:survive 6-12 h � eggs rem ainviable fora few weeks incolder, m ore h um id environm ents � th e adultworm s inh abitth e cecum & colon � + ~ 10 m m inlength > 3 m m � > dies righ tafterm ating � + m igrate outth e anus depositing eggs onth e perianalskin the parasite � h um ans getth is infectionby m outh & by autoinfection � h um ans are th e solely species th atcan transferth is parasite � h ouseh old pets like canine & cats can't becom e contaminated � eggs cansurvive inth e indoorenvironm ent for2-3 wk � incubationperiod of1 2 m onth s orlonger L ife cycle � infective eggs are ingested � th e larvae h atch inth e sm all gut � th e adults set up th em selves inth e colon � th e tim e intervalfrom ingestionof infective eggs to ovipositionby th e adultfem ales is about4 wk � life spanofth e adults is ~ 8 wk � gravid + m igrate nocturnally exterior th e anus;crawling onth e skin � eggs are deposited onperianalfolds � th e larvae developinth e eggs � th e eggs becom e infective in4 6 h T ransm ission  S elf-infection:transferring infective eggs to th e m outh with h ands th ath ave scratch ed th e perianalarea  P erson-to-individual:th rough h andling ofcontam inated cloth es orbed linens,curtains,carpeting  A irborne:som e eggs m ay be inh aled;swallowed and follow 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 � 1/three ofpinworm infected individuals are asym ptom atic � th e adultworm s m ay trigger sligh t irritation ofth e intestinalm ucosa � m ajorsym ptom is analpruritus � restlessness,nervousness,& irritability (ensuing from poorsleep associated with analpruritus) � in younger girls:m igration ofth e worm s m ay produce vaginitis orgranulom a of th e peritonealcavity Diagnosis � depends onrecovery of th e ch aracteristiceggs � eggs & fem ale adults may 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 � Th e examination inationsh ould be m ade inth e m orning, before th e patienth as wash ed ordefecated C ase report � 35-year-old > offered com plaints of cram ps,diarrh oea,lowerabdom inal pain,m ild iron-deficiency anaem ia � with out: weigh tloss,nausea,vom iting orgastrointestinalbleeding � G astroscopy,colonoscopy,sm allbowel observe-th rough,laboratory information and faecalm icroscopy were norm al � C apsule endoscopy:m ultiple sm alllive worm s were recognized � ~4m m long;swam inth e distaljejunum & ileum � H istopath ology:E verm icularis � Treatm ent:with A lbendaz ole 400 m g once a day for3 days and iron supplem ents;sym ptom s h advert com pletely disappeared T reatm ent � P yrantelP am oat � C om bantrin,250 m g-tablets orS uspension � 1 x 11 m g/kg;repeatafter2 weeks � M ebendaz ol � P antelm in,one hundred m g-drugs � 1 x one hundred m g; repeatafter2 weeks � A lbendaz ol � Eskaz ole,four hundred m g-drugs � 1 x 400 m g;repeatafter2 weeks � � th e m edicationdoes notkillalleggs � th e second dose preventre-an infection by adultworm s th ath atch from any eggs notkilled by th e firsttreatm ent � 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 handled atth e sam e tim e L ym ph atic filariasis K ey details � W uch ereria bancrofti:(ninety% ofth e circumstances) � B rugia m alayi � B. 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