Norwegian scabies in a malnourished young adult: a case report.
A 19-year-old male was admitted to the medical ward with complaints of fever and swelling of the ankle and wrist joints of about two weeks duration. The patient developed hyperkeratotic lesions of the skin over the hands, elbow and back about three weeks after admission. Antistreptolysin O, rheumatoid factor, and Widal tests as well as Chickungunya, brucella, HIV and antinuclear antibodies were negative. Culture of blood sample and pus aspirate from the ankle and chest yielded a pure growth of Staphylococcus epidermidis. Potassium hydroxide (KOH) mount of the scrapings from crusted skin lesions showed plenty of adult mites, eggs and faecal pellets of Sarcoptes scabiei. A diagnosis of crusted scabies with secondary bacterial infection was made and the patient was treated successfully with oral ivermectin, topical permethrin and vancomycin.
Department of Medicine, Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry 605107 , India.
Girija
G
Subramaniam
Karthikeyan
K
Kaliaperumal
Jeyakumari
J
Duraipandian
Gopal
G
Rengasamy
D000328:Adult; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications*; D012532:Scabies / Q000188:drug therapy / Q000209:etiology*