How to treat persistent pinworm infestation that is resistant to medications?

Hello,

Welcome to icliniq.com.

Thank you for reaching out with your concerns.

Pinworm infestations, or enterobiasis, can often lead to recurrent reinfection, emphasizing the importance of treating the entire family to prevent recurrence. It is recommended to administer two doses of medication, two weeks apart, especially as young pinworms may exhibit resistance to treatment. All family members, whether symptomatic or not, should undergo treatment to prevent reinfection. Complications of pinworms may include superficial bacterial infections at scratching sites due to intense perianal pruritus. Also, non-intestinal pinworm infections have been reported in various organs. Eradicating pinworms from living environments can be challenging, requiring long-term surveillance.

You also seem to have an Epstein-Barr virus (EBV) infection, commonly known as infectious mononucleosis. Considering your recent travel exposure to Mexico, it is essential to address both concerns comprehensively. I would suggest the following treatment:

1. For pinworms, consider a combination of anthelminthic drugs such as Ivermectin and Albendazole for a 3-day course, repeated after two weeks.
2. Antiviral drugs should be considered for EBV infection.
3. Pinworm symptoms can be managed with Paracetamol for fever and antihistamines for itching.

Consult with your doctor to discuss and initiate this comprehensive approach to address both concerns effectively.

If you have any further questions or need additional guidance, feel free to ask.

Thank you.