パモ酸ピランテルで駆虫に失敗しアルベンダゾールが奏功した日本人若年成人蟯虫症の 1 例

抄録

Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital A 18-year-old Japanese woman seen as an outpatient for refractory enterobiasis had been treated with pyrantel pamoate over 40 times since the age of 11. She washed her hands and cleaned house frequently, and all family members took pyrantel pamoate, but Enterobius vermicularis eggs remained. She was orally administered 400mg of albendazole 3 times inclinicvisits, after which eggs have not been seen for 1 year. Pyrantel pamoate isusedwidely against enterobiasis in Japan. Our case shows albendazole to also be effective against enterobiasis. Albendazole thus appears to be a useful anti-helminthic in enterobiasispatients in whom pyrantel pamoate is not effective. This is, to our knowledge, the first case of enterobiasis treated with albendazole in Japan.