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, r...

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Main Authors: Girija Subramaniam, Karthikeyan Kaliaperumal, Jeyakumari Duraipandian, Gopal Rengasamy
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2010-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/578
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author Girija Subramaniam
Karthikeyan Kaliaperumal
Jeyakumari Duraipandian
Gopal Rengasamy
author_facet Girija Subramaniam
Karthikeyan Kaliaperumal
Jeyakumari Duraipandian
Gopal Rengasamy
author_sort Girija Subramaniam
collection DOAJ
description 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.
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publisher The Journal of Infection in Developing Countries
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spelling doaj-art-68ddcd3816e049c28b337432a80fbeb72025-08-20T02:27:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-05-0140510.3855/jidc.578Norwegian scabies in a malnourished young adult: a case reportGirija Subramaniam0Karthikeyan Kaliaperumal1Jeyakumari Duraipandian2Gopal Rengasamy3Sri Manakula Vinayagar Medical College, Kalitheerthalkuppam, Puducherry- 605107, IndiaSri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry- 605107Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry- 605107Sri Manakula Vinayagar Medical College and Hospital, Kalitheerthalkuppam, Pondicherry- 605107 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. https://jidc.org/index.php/journal/article/view/578Norwegianscabiesivermectin
spellingShingle Girija Subramaniam
Karthikeyan Kaliaperumal
Jeyakumari Duraipandian
Gopal Rengasamy
Norwegian scabies in a malnourished young adult: a case report
Journal of Infection in Developing Countries
Norwegian
scabies
ivermectin
title Norwegian scabies in a malnourished young adult: a case report
title_full Norwegian scabies in a malnourished young adult: a case report
title_fullStr Norwegian scabies in a malnourished young adult: a case report
title_full_unstemmed Norwegian scabies in a malnourished young adult: a case report
title_short Norwegian scabies in a malnourished young adult: a case report
title_sort norwegian scabies in a malnourished young adult a case report
topic Norwegian
scabies
ivermectin
url https://jidc.org/index.php/journal/article/view/578
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AT karthikeyankaliaperumal norwegianscabiesinamalnourishedyoungadultacasereport
AT jeyakumariduraipandian norwegianscabiesinamalnourishedyoungadultacasereport
AT gopalrengasamy norwegianscabiesinamalnourishedyoungadultacasereport