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November 22, 2009
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Pinworm Infection
(Enterobiasis)

Medical Author: Robert Ferry Jr., MD
Medical Editor: Jay W. Marks, MD

What is pinworm infection?

Pinworm infection is a large intestine infection caused by a small, white worm called a pinworm, seatworm, or threadworm. The medical name for the pinworm is Enterobius vermicularis, also called a helminth.

The pinworm is about the length of a staple. It lives for the most part within the rectum of humans. While an infected person is asleep, female pinworms leave the intestines through the anus and deposit eggs on the skin around the anus.

Because pinworm infection is caused by Enterobius vermicularis, the infection is also called enterobiasis (or helminthiasis).

Who is at risk for pinworm infection?

Pinworm is the most common worm infection in the United States.

School-age children have the highest rates of pinworm infection. They are followed by preschoolers. Institutional settings including day care facilities, often harbor cases of pinworm infection. Sometimes, nearly half of the children may be infected.

Pinworm infection often occurs in more than one family member. Adults are less likely to have pinworm infection, except mothers of infected children.

How is pinworm infection spread?

Within a few hours of being deposited on the skin around the anus, pinworm eggs become infective (capable of infecting another person). They can survive up to two weeks on clothing, bedding, or other objects. Infection is acquired when these eggs are accidentally swallowed, due to inadequate handwashing by the parents and children.

What are the symptoms of pinworms?

Intense itching around the anus and/or vagina comprise the classic symptoms of pinworms. Less common symptoms range from upset stomach to loss of appetite, irritability, restlessness, and insomnia.

The symptoms of pinworm infection are caused by the female pinworm laying her eggs. Indeed, most infected individuals have few or no symptoms but, if the infection is heavy, the symptoms can be correspondingly more severe.



Next: How is pinworm infection diagnosed? »

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Pinworm Infection

What is anal itching?

Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. Although itching may be a reaction to chemicals in the stool, it often implies that there is inflammation of the anal area. The intensity of anal itching and the amount of inflammation increases from the direct trauma of scratching and the presence of moisture. At its most intense, anal itching causes intolerable discomfort that often is described as burning and soreness.

What causes anal itching?

  • Anal itching can be caused by irritating chemicals in the foods we eat, such as are found in spices, hot sauces, and peppers.

  • Anal itching also can be caused by the irritation of continuous moisture in the anus caused by frequent liquid stools, diarrhea, or escape of small amounts of stool (incontinence). Moisture increases the possibility of infections of the a...

Read the Anal Itching article »










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