peds88 Flashcards
treatment for pinworm
mebendazole, albendazole, or pyrantel pamoat; treat all close contacts
how is pinworm transmitted?
fecal-oral transmission of eggs
which helminths are associated with iron def anemia?
necator americanus and ancylostoma duodenale (hook worm)
clinical features of hook worm infection
rash and pruritis at site of penetration; iron def anemia
how is hookworm infection acquired?
percutaneous infection through bare foot that stems on soil with human feces; larvae go to lung and then are coughed up and swallowed
strongyloides infection- how it is acquired?
same has hookworm; feet to lungs to esoph to intestines
clinical features of strongyloides infection
transient pruritic papules at site of penetration; pneumonitis, GI sx; eosinophilia
cutaneous larva migrans clinical features
migrating, pruritic, serpiginous erythematous tracks on skin
treatment for cutaneous larva migrans
resolves without treatment; can use ivermectin, thiabendazole, or albendazole for severe cases
toxocara canis or cati infection (visceral larva migrans)- how is it acquired
most common in kids less than 4 who have pica; ingestion of eggs from contaminates soil or dog fur; larvae released from eggs and migrate through tissues
clinical features of toxocara canis
generalized VLM (fever, eosinophilia, hepatomegaly, malaise, cough, myocarditis) or ocular LVM (retinal granulomas or endopthalmitis)
management of most helminth infections
mebendazole, albendazol, pyrantel pamoate, ivermectin, screen all close contacts
where does RMSF primarily occur?
southeastern regions of the US
when does RMSF infection usually occur?
spring and summer
clinical feature of RMSF
fever, rash; myalgias, hepatosplenomegaly and jaundice; CNS symptoms like headache, coma and seizures; hypotension
