Crusted (Norwegian) scabies. Occurrence in a child undergoing a bone marrow transplant.
A case of crusted (Norwegian) scabies is reported in a child who was a recipient of a bone marrow transplant. The infestation is presumed to have predated the bone marrow transplant and continued asymptomatically during chemotherapy and total body x-irradiation in preparation for transplant. The child was asymptomatic until 23 days after transplantation, when bone marrow engraftment was attained. The altered host-parasite relationship is emphasized by the observation that the onset of symptomatic pruritus coincided with successful engraftment.
D016026:Bone Marrow Transplantation; D002675:Child, Preschool; D006790:Host-Parasite Interactions; D006801:Humans; D007945:Leukemia, Lymphoid / Q000628:therapy; D008297:Male; D009894:Opportunistic Infections / Q000209:etiology; D012532:Scabies / Q000209:etiology*