Helminth Infestations: The Daily PANCE Blueprint
A 10-year-old is brought in by his mother. She noticed him not sleeping well and itching his buttock at night. The tape test is positive. Which of the following is the best treatment option?
A. Corticosteroid cream
B. Albendazole
C. Clotrimazole
D. Doxycycline
E. Ivermectin
Answer and topic summary
The answer is B. Albendazole
Enterobiasis is the most common helminthic infection in the U.S. The Enterobius vermicularis (aka pinworm) is a nematode that is transmitted via the fecal-oral route. The classic clinical feature is anal pruritus (usually at night). The best diagnostic test is the “tape test” which is the microscopic identification of the pinworms (or ova) on tape that has been previously pressed over the perianal area. Treatment options are bendazoles (e.g., albendazole or mebendazole) OR pyrantel pamoate. The entire household should be treated as well.
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Covered under ⇒ PANCE Blueprint Infectious Disease ⇒ ⇒
