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    Pinworm

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    Anggis Kusumaningtyas
    1. Enterobius vermicularis, commonly known as pinworms, are one of the most common intestinal nematodes that inhabit the cecum and colon in humans. 2. The adult female pinworms migrate out of the anus at night to lay eggs on the perianal skin, causing itching and poor sleep. 3. Pinworm infections are diagnosed through cellophane tape tests of the perianal area to detect eggs and can be treated with albendazole, though repeated treatments may be needed due to reinfection risks, especially in institutional settings with crowded conditions.

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    Pinworm

    Uploaded by

    Anggis Kusumaningtyas
    262 views14 pages
    1. Enterobius vermicularis, commonly known as pinworms, are one of the most common intestinal nematodes that inhabit the cecum and colon in humans. 2. The adult female pinworms migrate out of the anus at night to lay eggs on the perianal skin, causing itching and poor sleep. 3. Pinworm infections are diagnosed through cellophane tape tests of the perianal area to detect eggs and can be treated with albendazole, though repeated treatments may be needed due to reinfection risks, especially in institutional settings with crowded conditions.

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    1. Enterobius vermicularis, commonly known as pinworms, are one of the most common intestinal nematodes that inhabit the cecum and colon in humans. 2. The adult female pinworms migrate out of the anus at night to lay eggs on the perianal skin, causing itching and poor sleep. 3. Pinworm infections are diagnosed through cellophane tape tests of the perianal area to detect eggs and can be treated with albendazole, though repeated treatments may be needed due to reinfection risks, especially in institutional settings with crowded conditions.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    262 views14 pages

    Pinworm

    Uploaded by

    Anggis Kusumaningtyas
    1. Enterobius vermicularis, commonly known as pinworms, are one of the most common intestinal nematodes that inhabit the cecum and colon in humans. 2. The adult female pinworms migrate out of the anus at night to lay eggs on the perianal skin, causing itching and poor sleep. 3. Pinworm infections are diagnosed through cellophane tape tests of the perianal area to detect eggs and can be treated with albendazole, though repeated treatments may be needed due to reinfection risks, especially in institutional settings with crowded conditions.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 14

    Enterobius vermicularis

    Enterobius vermicularis

    The pinworms are one of the most


    common intestinal nematodes. The adult
    worms inhabit the cecum and colon. Right
    after mating, the male dies. Therefore, the
    male worms are rarely seen. The female
    worms migrate out the anus depositing
    eggs on the perianal skin. Humans get this
    infection by mouth and by autoinfection.
    I. Morphology
    1. Adults: The adults look like a pin and are white in color.
    The female worm measures about 8 to 13 mm in size and is
    fusiform in shape. The male adult is only 2-5mm. The tail of
    a male is curved. They die right after mating, thus males are
    rarely seen. The anterior end tapers and is flanked on each
    side by cuticular extensions called “ cephalic alae”. The
    esophagus is slender, terminating in a prominent posterior
    bulb , which is called esophageal bulb. The cephalic alae and
    esophageal bulb are important in identification of the species.
    2. Egg: 50 to 60m by 25 µm, persimmon seed-like,
    colorless and transparent, thick and asymmetric shell,
    content is a larva.
    Adult worm of E. vermiculais
    Anterior part of E. vermicularis. Note cephalic
    alae and esophageal bulb .
    Egg
    Egg: 50 to 60m by 25 µm,
    persimmon seed-like,
    colorless and transparent,
    thick and asymmetric shell,
    content is a larva.

    Anal smear showing large


    numbers of Enterobius eggs
    under the lower power. In the
    background are also two
    Ascaris eggs.
    Visual Aids
    Ii. Life Cycle

    1. site of inhabitation: cecum and colon


    2. infective stage: embryonated egg
    3. infective route: by mouth
    4. without intermediate host and reservoir host
    5. life span of female adults: 1-2 months
    Life Cycle (in picture)
    III. Symptomatology
    About one-third of pinworm-infected persons are
    asymptomatic, The adult worms may cause slight
    irritation of the intestinal mucosa.
    Major symptom is anal pruritus, which associates
    with the nocturnal migration of the gravid females from
    the anus and deposition of eggs in the perianal folds of
    the skin. Restlessness, nervousness, and irritability,
    probably resulting from poor sleep associated with anal
    pruritus,. In young girls, migration of the worms may
    produce vaginitis and salpingitis or granuloma of the
    peritoneal cavity.
    Adult Pinworms on the perianal skin
    IV. Diagnosis
    Diagnosis depends on recovery of the
    characteristic eggs. The eggs and the female
    adults can be removed from the folds of the skin
    in the perianal regions by the use of the
    cellophane tape method. The examination
    should be made in the morning, before the patient
    has washed or defecated
    V.Treatment and prevention
    Since the life span of the pinworm is less than two months,
    the major problem is reinfection. Albendazole is the drug
    of choice. Repeated retreatment may be necessary for a
    radical cure.
    Prevention: 1. treat the patients and carriers 2. individual
    health 3. public health 4. health education and hygienic
    habits
    VI. Epidemiology
    Geographical distribution—cosmopolitan in temperate
    zones with about 30 to 50% of the population infected. It is
    more common in white than colored people and more
    prevalent in children than adults. Enterobiasis is most
    common where people live under crowded conditions such
    as orphanages, kindergartens, and large families.

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