TY  - CHAP
M1  - Book, Section
TI  - Chapter 214. Intestinal Worms and Parasites
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  parent  brings  in  a  4-year-old  boy  suffering  with  anal  itching.  On  examination  the  physician  finds  several  excoriations  around  the  anus  and  suspects  pinworms.  The  physician  then  applies  scotch  tape  to  the  perianal  area  and  places  the  tape  on  a  glass  slide.  Review  of  the  slide  demonstrates  adult  worms  and  ova  of  Enterobius  vermicularis  (pinworms)  (Figure  214-1).  The  boy  is  treated  with  a  single  dose  of  chewable  mebendazole  and  his  symptoms  resolve.  The  parent  is  told  to  repeat  the  mebendazole  dose  in  2  weeks  to  increase  the  long-term  cure  rate.  If  the  scotch  tape  test  were  negative,  the  physician  could  choose  to  treat  empirically  as  mebendazole  is  a  very  safe  medication.  Another  option  is  to  test  again  having  the  parent  apply  the  scotch  tape  to  the  boy's  perianal  area  first  thing  in  the  morning  and  bring  that  back  to  the  office  (the  yield  is  higher  in  the  morning).  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57684785
ER  -