A child having perianal pruritus with following eggs is due to –
Perianal pruritus in children is often caused by parasitic infections. The most common one is pinworm (Enterobius vermicularis) infection. The eggs of pinworms are typically seen around the anal area, especially at night when the female worms lay their eggs. The eggs are oval, have a hyaline plug at one end, and are about 50-60 micrometers in size. So if the question is pointing towards a specific egg morphology, pinworm would be the answer.
Other possibilities might include other parasites like hookworms or Strongyloides, but their eggs are different. Hookworm eggs are oval and have a thin shell, but they're more associated with soil exposure. Strongyloides eggs are also oval but have a thick, uneven shell. Scabies mites can cause itching but aren't eggs. So if the options included other parasites, they'd be incorrect.
The clinical pearl here is that perianal pruritus in children, especially at night, is a classic sign of pinworm infection. The eggs are best detected using the cellophane tape test. So the correct answer would be Enterobius vermicularis. The options that are other parasites or non-parasitic causes should be ruled out based on their egg morphology and clinical presentation.
**Core Concept**
Perianal pruritus in children is most commonly caused by *Enterobius vermicularis* (pinworm) infection. The characteristic oval eggs with a hyaline plug and polar filaments are diagnostic, often detected via cellophane tape test.
**Why the Correct Answer is Right**
Pinworm eggs are small (50–60 µm), oval, and have a distinct hyaline plug at one end. They are laid by adult female worms in the perianal area, causing intense nocturnal itching. The cellophane tape test adheres to the anal folds to collect eggs for microscopic confirmation.
**Why Each Wrong Option is Incorrect**
**Option A:** Hookworm eggs are thin-shelled, oval, and lack a hyaline plug; they’re passed in stool, not associated with perianal pruritus.
**Option B:** *Ascaris* eggs are large, thick-shelled, and ellipsoidal, found in stool, not anal secretions.
**Option C:** *Strongyloides* eggs are barrel-shaped with polar plugs but lack the hyaline plug of pinworms.
**Clinical Pearl**
Nighttime perianal itching in children is a hallmark of pinworm infection. Diagnosis relies on the cellophane tape test, not stool examination. Treat with mebendazole or albendazole and decontaminate bedding.
**Correct Answer: C. *Enterobius vermicularis***