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A 37-year-old female asked:

Worms have been found in stool.now feels like worms under skin on arms.small, crusty bodies are attached to hair follicles when puled out.what is it?

1 doctor answer2 doctors weighed in
Dr. Gregory Fehr
Emergency Medicine 46 years experience
Worms: There are a lot of different worms people can contact and in the usa most can be cured with mebendazole. Very few in the usa can ever be seen under the skin. If you got a serious question, an infectious disease specialist would be the one to talk to.
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Dr. Aruna Adaikkalam
Internal Medicine 39 years experience
Have you brought the sample of worms in the stools, as the intestinal parasites - the worms can be of different kind .Three are 3 major groups of worms based on their structure - flukes(trematodes), tape worms(cestodes) and round ed body ones(nematodes) and each type has quite a few different worms under each group. Each group is covered by different medications . Mebendazoleis commonly used forfew of the the round shaped (on cross section) ones, though lot of further developed medications under the mebendazole gp are there .Some of the round type worms are not treatable by mebendazole The tape worms -dog tape worms, pork tape worms, bovine tap worms ,fish tape worms are covered by another gp of medications - foreg. Niclosamide. For flukes - liver flukes, urinary bladder flukesetc treatment is different with yet aother medication agents.So identification of the parasite by ur doctor/lab is necessary. Similarly they will check your stool(,urine and blood as some of the parasites may be in more than one site) . The attached parasite to the skin- I am not sure whether it is fleas . Do you have any pets at home especially dogs. They need to be also examined by your doctor. Mites like scabies mites live in burrows and we can't see them with naked eye easily. Lice can be seen easily , and the there are two types of lice - the common type and the pubic lice -which happens in immunocompromised situations associated with intense itching. The having of lice in skin indicates very poor hygeine/self neglect /immunocompromszed situation.
Jul 20, 2013
Last updated Nov 7, 2013


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