International Journal of General Medicine (Jan 2021)
Scabies with Secondary Infection Resembling Kerion-Type Tinea Capitis
Abstract
Imam Budi Putra, Nelva Karmila Jusuf Department of Dermatology and Venerology, Faculty of Medicine, Universitas Sumatera Utara, Medan, IndonesiaCorrespondence: Imam Budi PutraFaculty of Medicine, Universitas Sumatera Utara, Jl Dr.Mansur, No. 5, Kampus USU, Padang Bulan, Medan 201555, IndonesiaTel +628126011965Email [email protected]: 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
