Pregnant women with mild symptoms: consider deferring treatment until after delivery. If persistent, repeat treatment in two weeks.ĭo not give to children younger than two years.Īdults: Metronidazole (Flagyl), 250 mg orally three times daily for five to seven days Secondary: Pyrantel pamoate (Pin-Rid), 11 mg per kg (maximum of 1 g) orally once orĪlbendazole (Valbazen), 400 mg orally once Primary: Mebendazole (Vermox), 100 mg orally once Careful sanitation and use of peeled foods and bottled water are preventive. Metronidazole, chloroquine, and aspiration are treatments for liver abscess. Therapy includes luminal and tissue amebicides to attack both life-cycle stages. Stool and serologic assays, biopsy, barium studies, and liver imaging have diagnostic merit.
Amebas can cause abscesses in the liver that may rupture into the pleural space, peritoneum, or pericardium. histolytica can cause intestinal ulcerations, bloody diarrhea, weight loss, fever, gastrointestinal obstruction, and peritonitis. Preventive measures include wearing shoes and treating sewage. Treatments include albendazole, mebendazole, pyrantel pamoate, iron supplementation, and blood transfusion. americanus are hookworms that cause blood loss, anemia, pica, and wasting. Sewage treatment, proper handwashing, and consumption of bottled water can be preventive. Stool ova and parasite studies are diagnostic. Giardia causes nausea, vomiting, malabsorption, diarrhea, and weight loss. Diagnosis can be made using the “cellophane tape test.” Treatment includes mebendazole and household sanitation.
vermicularis, or pinworm, causes irritation and sleep disturbances. Diseases caused by Enterobius vermicularis, Giardia lamblia, Ancylostoma duodenale, Necator americanus, and Entamoeba histolytica occur in the United States. Intestinal parasites cause significant morbidity and mortality.
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