Pinworms in Emergency Medicine Treatment & Management

  • Author: Joseph J Bocka, MD; Chief Editor: Pamela L Dyne, MD   more...
 
Updated: Apr 28, 2011
 

Emergency Department Care

  • Antihelmintic treatment benefit must be weighed with the risk of adverse effects and the possibility of reinfection, which is seldom harmful.
  • Strict handwashing is required after contact with patient, patient clothing, and stretcher.
  • All bedding and gowns should be cleaned.
  • Stretchers should be washed before further patient use.
  • The entire household should be treated simultaneously.
  • Treat itch, irritation, and excoriation symptomatically.
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Contributor Information and Disclosures
Author

Joseph J Bocka, MD  Director of Shelby Emergency Department, Attending Emergency Physician at Mansfield Hospital, Med Central Health System (Mansfield and Shelby, Ohio); Emergency Medical Service Medical Director for several services

Joseph J Bocka, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, National Association of EMS Physicians, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

David A Peak, MD  Assistant Residency Director of Harvard Affiliated Emergency Medicine Residency, Attending Physician, Massachusetts General Hospital; Consulting Staff, Department of Hyperbaric Medicine, Massachusetts Eye and Ear Infirmary

David A Peak, MD is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, Society for Academic Emergency Medicine, and Undersea and Hyperbaric Medical Society

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Jeter (Jay) Pritchard Taylor III, MD  Compliance Officer, Attending Physician, Emergency Medicine Residency, Department of Emergency Medicine, Palmetto Health Richland, University of South Carolina School of Medicine; Medical Director, Department of Emergency Medicine, Palmetto Health Baptist

Jeter (Jay) Pritchard Taylor III, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Pamela L Dyne, MD  Professor of Clinical Medicine/Emergency Medicine, University of California, Los Angeles, David Geffen School of Medicine; Attending Physician, Department of Emergency Medicine, Olive View-UCLA Medical Center

Pamela L Dyne, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

References

  1. Ramezani MA, Dehghani MR. Relationship between Enterobius vermicularis and the incidence of acute appendicitis. Southeast Asian J Trop Med Public Health. Jan 2007;38(1):20-3. [Medline].

  2. Erian M, McLaren G. Unexpected causes of gynecological pelvic pain. JSLS. Oct-Dec 2004;8(4):380-3. [Medline].

  3. Aydin O. Incidental parasitic infestations in surgically removed appendices: a retrospective analysis. Diagn Pathol. 2007;2:16. [Medline].

  4. Samkari A, Kiska DL, Riddell SW, et al. Dipylidium caninum mimicking recurrent enterobius vermicularis (pinworm) infection. Clin Pediatr (Phila). May 2008;47(4):397-9. [Medline].

  5. Craggs B, De Waele E, De Vogelaere K, et al. Enterobius vermicularis infection with tuboovarian abscess and peritonitis occurring during pregnancy. Surg Infect (Larchmt). Dec 2009;10(6):545-7. [Medline].

  6. Ajao OG, Jastaniah S, Malatani TS, et al. Enterobius vermicularis (pin worm) causing symptoms of appendicitis. Trop Doct. Jul 1997;27(3):182-3. [Medline].

  7. Arca MJ, Gates RL, Groner JI, et al. Clinical manifestations of appendiceal pinworms in children: an institutional experience and a review of the literature. Pediatr Surg Int. May 2004;20(5):372-5. [Medline].

  8. Hong ST, Choi MH, Chai JY, Kim YT, Kim MK, Kim KR. A case of ovarian enterobiasis. Korean J Parasitol. Sep 2002;40(3):149-51. [Medline].

  9. Hugot JP, Reinhard KJ, Gardner SL, Morand S. Human enterobiasis in evolution: origin, specificity and transmission. Parasite. Sep 1999;6(3):201-8. [Medline].

  10. Jardine M, Kokai GK, Dalzell AM. Enterobius vermicularis and colitis in Children. J Pediatr Gastroenterol Nutr. Nov 2006;43(5):610-2. [Medline].

  11. Jeske J, Kamerys J, Ochecka-Szymanska A. Efficacy of mebendazole in treatment of selected parasitoses--a retrospective study. Wiad Parazytol. 2000;46(1):127-39. [Medline].

  12. Gilbert DN, Moellering RC, Eliopoulos GM, et al. The Sanford Guide to Antimicrobial Therapy 2007. Sperryville, Va: Antimicrobial Therapy Inc; 2007:127,133.

  13. Wang LC, Hwang KP, Chen ER. Enterobius vermicularis infection in schoolchildren: a large-scale survey 6 years after a population-based control. Epidemiol Infect. May 19 2009;1-9. [Medline].

 
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