TY - CHAP M1 - Book, Section TI - Pinworm Infection (Enterobiasis) A1 - Shah, Ashish A1 - Sobolewski, Brad A1 - Mittiga, Matthew R. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason Y1 - 2021 N1 - T2 - The Atlas of Emergency Medicine, 5e AB - Enterobius vermicularis is a threadlike white worm that infects the colon and causes intense nocturnal perianal pruritus when the gravid adult female migrates to deposit eggs at night. Female worms measure 8 to 13 mm in length and can be observed moving about the perianal area at night. On rare occasions, this nematode can lead to vulvovaginitis. The diagnosis can be made by direct visualization of the nematode by the parents or by using a piece of transparent adhesive tape and touching it to the perianal area upon awakening in the morning. This tape is then applied to a glass slide for microscopic examination under low power to look for “bean-shaped” eggs. The differential diagnosis includes perianal irritation, perianal group A Streptococcus infection, cellulitis, fissures, hemorrhoids, and contact dermatitis. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/23 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044689 ER -