A 40-year-old man from Thailand presents with subcutaneous migratory swelling that has been moving across his abdominal wall over the past 3 weeks. He...

Question

A 40-year-old man from Thailand presents with subcutaneous migratory swelling that has been moving across his abdominal wall over the past 3 weeks. He ate raw freshwater fish 4 weeks ago. Eosinophilia is marked (eosinophils 6.2 × 10⁹/L). What is the treatment of choice?

Accepted Answer

Albendazole 400 mg BD for 21 days

Answer

Praziquantel 25 mg/kg TDS for 2 days

Answer

Ivermectin 200 µg/kg single dose

Answer

Surgical excision of the worm

Answer

Metronidazole 400 mg TDS for 10 days

uk-dtmh MCQ (SBA): Gnathostomiasis Treatment

A 40-year-old man from Thailand presents with subcutaneous migratory swelling that has been moving across his abdominal wall over the past 3 weeks. He ate raw freshwater fish 4 weeks ago. Eosinophilia is marked (eosinophils 6.2 × 10⁹/L). What is the treatment of choice?