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Pelvic Granuloma Due to Enterobius Vermicularis

Thomas J. Brooks Jr., M.D.; Catherine C. Goetz, M.D.; Warren C. Plauché, M.D.
JAMA. 1962;179(7):492-494. doi:10.1001/jama.1962.03050070014003.
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A 32-year-old woman with a complicated obstetrical history entered the hospital with complaints of menorrhagia, dysmenorrhea, extreme nervousness, and anorexia. The most significant finding at operation was the presence of multiple pearly nodules scattered about the pelvic peritoneum, especially about the fimbria of the uterine tubes. The nodules proved to be typical granulomata, presumably tuberculous, and antituberculous therapy was begun immediately after surgery. Further studies, however, revealed ova of Enterobius vermicularis in the patient's feces and also in the granulomatous lesions. A family history of infestation with pinworms was elicited. An 8-day course of piperazine citrate (1.0 gm. twice daily) cleared up the infestation, and 6 weeks after surgery the patient was free from symptoms.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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