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Nematode - Enterobius vermicularis

Enterobius vermicularis
Life cycle:
  • Eggs are ingested
  • Larvae hatch in intestines
  • Adults develop in colon
  • Females travel to perianal region, lay fertilized eggs in skin folds (usually at night)
  • Person scratches, transfers eggs to new surfaces, self.
  • Some eggs may even hatch prior to transfer and autoinfect the host by moving to rectum, colon.
Clinical:
  • Most commonly infects children.
  • Adult females travel to the perianal region and lay eggs in the skin folds; this most often takes place during the nighttime.
Infection can cause perianal itching (pruritus)*
  • When individuals scratch the area, they pick up eggs on their hands and then transfer them to others via direct contact or fomites.
  • A form of autoinfection occurs when eggs hatch prior to transfer and new larvae travel to the rectum.
  • Diagnosis is often via "tape test": apply clear tape to perianal region; upon removal, eggs will be stuck to tape and visible.
Images: https://www.cdc.gov/dpdx/enterobiasis/index.html