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[Pseudo-scabies transmitted by red fox].

R W Birk1, B Tebbe, E Schein

  • 1Universitäts-Hautklinik und Poliklinik, Klinikum Benjamin Franklin, Freie Universität Berlin, Hindenburgdamm, Berlin.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|March 31, 1999
PubMed
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Pseudoscabies, a skin infestation by animal mites, can occur through indirect contact with wildlife like urban red foxes. Treatment with topical lindane and systemic corticosteroids led to full remission of symptoms.

Area of Science:

  • Dermatology
  • Zoonotic Diseases
  • Parasitology

Background:

  • Pseudoscabies, an infestation of human skin by animal mites, is an uncommon but important consideration in diagnosing itchy, papular skin conditions.
  • Animal mites, such as Sarcoptes scabiei var. canis, can transmit to humans, presenting a diagnostic challenge.

Observation:

  • A case report details a 52-year-old woman in Berlin presenting with symptoms of pseudoscabies.
  • The patient's condition was linked to indirect contact with a red fox, highlighting the potential for zoonotic transmission in urban environments.
  • Red foxes inhabit urban areas, utilizing spaces like garages and cellars, increasing potential human-animal contact.

Findings:

  • The patient was diagnosed with canine scabies (Sarcoptes scabiei var. canis).

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  • A treatment regimen involving topical lindane and systemic corticosteroids resulted in complete resolution of the prolonged, pruritic rash.

    • Implications:

    • This case underscores the need to include pseudoscabies in the differential diagnosis for pruritic, papular eruptions, especially in urban settings with wildlife presence.
    • Effective treatment options exist, including topical lindane and systemic corticosteroids, for managing this zoonotic skin condition.
    • Understanding the habitats of urban wildlife, such as red foxes, is crucial for preventing and managing zoonotic disease transmission.