A 9-year old boy is brought to the clinic with complains of intense itching around the anal region, especially at night. His mother reports that he has been restless during sleep and often scratches the affected area. Physical examination is unremarkable, but a perianal tape test reveals the presence of parasite eggs.
Which drug is most appropriate for treating this condition?
A. Metronidazole
B. Albendazole
C. Acyclovir
D. Ciprofloxacin
A. Metronidazole
B Albendazole
It’s an helminthic infection. Metronidazole is an anti-protozal drug
Albendazole is the antiparasitic medication to manage symptoms.
Albendazole
Albendazole
Because of its parasitic infection, Albendazole is write answer
Albendazole is a broad spectrum drug used to treat parasitic infections like ringworm, pinworm. It should be avoided by the pregnant women.
The clinical diagnosis suggests Enterobius vermicular(Pinworm) infection, characterized by nocturnal perianal infection and a positive perianal tape test.
Albendazole is the broad-spectrum anti-helmintic drug commonly used to treat pinworm infctions. It works by inhibiting micriotubule formation in the parasite, impairong glucose uptake and leading to parasite death.
Key learning point- Nocturnal perianal itching is a classic feature of pinworm infection , while tape test is the diagnosis.
Thank you for the correction.
Albendazole is the clear drug of choice here. However, the real clinical pearl with Enterobius vermicularis is the dosing strategy. Because Albendazole is highly effective against the adult worms but doesn’t reliably kill the eggs, a single dose must always be followed by a second dose exactly two weeks later. This cuts off the lifecycle right as any surviving ova hatch, preventing a cycle of retro-infection
Ma’am , you really have a good knowledge about drugs. Thank you for the information.