Clinical management of scabies with secondary infection: a case report

Rizki Listiansyah, Flora Ramona Sigit Prakoeswa

Abstract


Introduction: Scabies is a parasitic infectious disease that is still a public health problem in the world, including Indonesia.

Case Presentation: An 18-year-old male patient who presented with scabies which was accompanied by a secondary infection.

Discussion: Scabies is primarily transmitted through direct and indirect contact, with higher prevalence among children, densely populated communities, and areas with inadequate sanitation and hygiene facilities. The pruritic nature of scabies lesions leads to patient scratching, consequently giving rise to secondary infections, notably by Group A Streptococcus and Staphylococcus aureus bacteria. The potential escalation of these secondary infections to deeper tissues and systemic spread can result in severe complications, thereby posing a risk to life.

Conclusion: In order to avert subsequent complications, a holistic approach encompassing both pharmacological and non-pharmacological interventions should be expeditiously employed for scabies patients exhibiting secondary infections.


Keywords


secondary infection, scabies, therapy

References


Cheng, T. A. et al. (2020) ‘Scabies: Application of the Novel Identify-Isolate-Inform Tool for Detection and Management.’, The western journal of emergency medicine. United States, 21(2), pp. 191–198.

Engelman, D. et al. (2019) ‘The public health control of scabies: priorities for research and action.’, Lancet (London, England). England, 394(10192), pp. 81–92.

Kementerian Kesehatan RI (2018) RISKESDAS 2018, Kementerian Kesehatan RI. Available at:

https://www.kemkes.go.id/article/view/19093000001/penyakit-jantung-penyebab-kematian-terbanyak-ke-2-di-indonesia.html.

Kim, H. S. et al. (2021) ‘Scabies itch: an update on neuroimmune interactions and novel targets.’, Journal of the European Academy of Dermatology and Venereology: JEADV. England, 35(9), pp. 1765–1776.

Leung, V. and Miller, M. (2011) ‘Detection of scabies: A systematic review of diagnostic methods.’, The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale. Egypt, 22(4), pp. 143–

Mitchell, E. et al. (2020) ‘Community perspectives on scabies, impetigo and mass drug administration in Fiji: A qualitative study.’, PLoS neglected tropical diseases. United States, 14(12), p. e0008825.

Ogbuefi, N. and Kenner-Bell, B. (2021) ‘Common pediatric infestations: update on diagnosis and treatment of scabies, head lice, and bed bugs.’, Current opinion in pediatrics. United States, 33(4), pp. 410–415.

Ong, C. Y. and Vasanwala, F. F. (2018) ‘Infected with Scabies Again? Focus in Management in Long-Term Care Facilities.’, Diseases (Basel, Switzerland). Switzerland, 7(1).

PERDOSKI (2017) Panduan Praktik Klinis Bagi Dokter Spesialis Kulit dan Kelamin di Indonesia. Jakarta.

Sungkar, S. (2016) Skabies, Fakultas Kedokteran Universitas Indonesia. Jakarta.

Swe, P. M., Reynolds, S. L. and Fischer, K. (2014) ‘Parasitic scabies mites and associated bacteria joining forces against host complement defence.’, Parasite immunology. England, 36(11), pp. 585–593.

Sweileh, W. M. (2018) ‘Global output of research on epidermal parasitic skin diseases from 1967 to 2017’, Infectious Diseases of Poverty. Infectious Diseases of Poverty, 7(1), pp. 1–10.

Thompson, R., Westbury, S. and Slape, D. (2021) ‘Paediatrics: how to manage scabies.’, Drugs in context. England, 10.

Whitehall, J. et al. (2013) ‘Burden of paediatric pyoderma and scabies in North West Queensland.’, Journal of paediatrics and child health. Australia, 49(2), pp. 141–143.

WHO (2020) Scabies. Available at: https://www.who.int/news-room/fact-sheets/detail/scabies.

Yulfi, H., Zulkhair, M. F. and Yosi, A. (2022) ‘Scabies infection among boarding school students in Medan, Indonesia: Epidemiology, Risk Factors, and Recommended Prevention.’, Tropical parasitology. India, 12(1), pp. 34–40.


Full Text: PDF

DOI: 10.24815/jks.v24i1.31576

Refbacks

  • There are currently no refbacks.