A 7-year-old girl is brought to the physician because of itching of the vulva and anal region, especially during the night. Physical examination shows excoriation marks around the vulva and perianal region. There is minor perianal erythema, but no edema or fissures. An adhesive tape is applied to the perianal area shortly after she wakes in the morning. Microscopic analysis of the tape reveals the presence of eggs that are asymmetrically flattened on one side. Which of the following is the most appropriate treatment for this patient's condition?

Question

A 7-year-old girl is brought to the physician because of itching of the vulva and anal region, especially during the night. Physical examination shows excoriation marks around the vulva and perianal region. There is minor perianal erythema, but no edema or fissures. An adhesive tape is applied to the perianal area shortly after she wakes in the morning.  Microscopic analysis of the tape reveals the presence of eggs that are asymmetrically flattened on one side.  Which of the following is the most appropriate treatment for this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: Enterobius vermicularis infection (enterobiasis) occurs most frequently in children and presents with perianal pruritus.  Diagnosis is made by identifying eggs in the perianal region (cellulose tape test).  Treatment options include albendazole, mebendazole, and pyrantel pamoate.

A 7-Year-Old Girl Is Brought to the Physician Because of Itching