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Friday, December 05, 2008
 
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   Scabies

Description
Scabies is an infection caused by the mite Sarcoptes scabiei. Infections occur when newly fertilized female mites are transferred from person-to-person through close contact. Crowded, unclean conditions and sexually promiscuity increase the risk of contracting scabies. Medical personnel are also at increased risk of infection.


Symptoms
  • Sever itching of the infected area
  • Blisters or scabbed blisters in runs or burrows on finger webs, the heel of palms, and wrist creases
  • Small red raised lesions on the penis shaft


Diagnosis
  • Scrapings of lesion are viewed under a microscope. The presence of mites, ova (eggs), or feces confirms the diagnosis.
  • Burrow ink test involves ink being placed on the burrow and then scraped. The mite, ova, and feces can be seen under the microscope.


Treatment
  • Bedding and clothing should be cleaned and set aside for 48 hours.
  • A one-time application of Permethrin 5% cream for 8 to 12 hours is recommended. This regimen is safe and effective.
  • Lindane cream is more toxic than Permethrin and may pose dangerous side effects in children due to potential neurotoxicity.
  • Benzyl benzoate lotion may also be applied
  • Corticosteroids may be used for dermatitis (skin inflammation) that are caused by scabies.


Similar conditions
Pediculosis (lice)



 


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