Threadworm: an infrequent clinical finding in a genitourinary medicine clinic attendee presenting with ano-genital irritation.
A 24-year-old lady presented to an evening genitourinary (GU) clinic with a short history of vulval and anal irritation. On perianal examination, several threadworms were visible. Symptoms resolved with oral mebendazole and strict personal and environmental hygiene. Threadworm is a common and easily treatable cause of pruritus ani, yet is underreported in GU literature. If the history is suggestive, consider performing the diagnostic cellophane test and/or prescribing empirical treatment.
Day
S
S
St Stephen's Centre, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK. sara.day@chelwest.nhs.uk
D000328:Adult; D000818:Animals; D000969:Antinematodal Agents / Q000627:therapeutic use; D017229:Enterobiasis / Q000175:diagnosis* / Q000188:drug therapy; D004757:Enterobius; D005260:Female; D006801:Humans; D008463:Mebendazole / Q000627:therapeutic use; D011538:Pruritus Ani / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*; D011539:Pruritus Vulvae / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*
D000969:Antinematodal Agents; D008463:Mebendazole