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Amy, four years old, is having anal itching and comes to the doctor after severa

ID: 263709 • Letter: A

Question

Amy, four years old, is having anal itching and comes to the doctor after several days of scratching and rubbing. Her mom used Vaseline and cortisone cream without relief. She has not had diarrhea or itching elsewhere. Amy attends daycare four days a week and appears well. The perianal region appears inflamed, so a scotch tape sample is taken for microscopic examination. The exam shows a nematode larva inside an ovoid egg.

         14. Name the etiologic agent causing Amy’s pruritis.

          15. Describe in detail the transmission of this microbe.

Explanation / Answer

Amy, four years old, is having anal itching and comes to the doctor after severa

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