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Scabies with Secondary Infection Resembling Kerion-Type Tinea Capitis

Authors Putra IB, Jusuf NK

Received 10 November 2020

Accepted for publication 23 December 2020

Published 15 January 2021 Volume 2021:14 Pages 163—167


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Imam Budi Putra, Nelva Karmila Jusuf

Department of Dermatology and Venerology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

Correspondence: Imam Budi Putra
Faculty of Medicine, Universitas Sumatera Utara, Jl Dr.Mansur, No. 5, Kampus USU, Padang Bulan, Medan 201555, Indonesia
Tel +628126011965

Abstract: Scabies is an infestation caused by the mite Sarcoptes scabiei var hominis. The clinical picture can vary and in children, scabies occurs in locations that are not usually found in adults. Complications can occur due to secondary impetiginization of scabies lesions. We presented a case of 8-year-old boy with painful red lumps, pus discharge, and alopecia on the back of the head since 2 weeks ago. Dermatological examination revealed multiple erythematous nodules with sinuses in the scalp of the parieto-occipital area and alopecia. Through microscopic examination we found the Sarcoptes scabiei mite; therefore, we conclude that the diagnosis in this patient was impetigenic scabies. Treatment with topical permethrin 5%, oral antihistamine and oral antibiotics resulted in good outcome.

Keywords: scabies, unusual clinical manifestation, children, secondary infection

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