Ever had clients, young or old, who present with unexplained vuval itching or pain? How about irregular menstrual cycles or increased emotional mood lability as a result of chronic poor sleep quality? Rather than being simply a nuisance condition that affects most children at some stage of their life, a threadworm or Enterobius vermacularis infestation can be a major cause of morbidity in both your paediatric and adult patients, with long term GIT infestations increasingly being linked to serious sequelae such as appendicitis, ovarian & endometrial pathologies. We are increasingly seeing clients who have difficulty resolving threadworm and some who end up with chronic treatment refractory cases. What makes this helminth so problematic for some of our clients? This Update in Under 30 summarises new research, piecing together what factors lead to increased vulnerability, and therefore helping us to identify many of the things we need to address for effective treatment.
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