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Pig handler's itch.

A Chakrabarti1

  • 1Department of Veterinary Medicine & Public Health, Faculty of Veterinary & Animal Sciences, Bidhan, Chandra Krishi Viswavidyalaya, West Bengal, India.

International Journal of Dermatology
|April 1, 1990
PubMed
Summary
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Humans can contract sarcoptic mange from pigs. Most infected individuals experienced itching, with lesions typically on hands and legs, resolving after pig treatment and contact cessation.

Area of Science:

  • Veterinary Dermatology
  • Zoonotic Diseases
  • Parasitology

Background:

  • Sarcoptes scabiei is a mite that causes scabies in various animal hosts.
  • Zoonotic transmission of Sarcoptes scabiei from pigs to humans is a recognized but not extensively studied phenomenon.
  • Understanding the prevalence and clinical presentation of human scabies following pig contact is crucial for public health.

Purpose of the Study:

  • To investigate the prevalence and clinical manifestations of sarcoptic mange in humans after contact with infested pigs.
  • To identify the primary symptoms and affected body areas in humans infected with Sarcoptes scabiei from pigs.
  • To determine the resolution time and effective management strategies for human scabies originating from pigs.

Main Methods:

  • A cohort of 46 individuals with known contact with Sarcoptes scabiei-infested pigs was prospectively investigated.

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  • Clinical examinations were performed to document symptoms and lesion distribution.
  • Skin scrapings were collected and microscopically examined for the presence of Sarcoptes scabiei mites.
  • Data on age, affected sites, symptoms, and treatment outcomes were recorded.
  • Main Results:

    • Out of 46 humans, 30 (65.2%) exhibited symptoms consistent with sarcoptic mange.
    • Sarcoptes scabiei mites were identified in skin scrapings from 20 (66.6%) of the symptomatic individuals.
    • The predominant symptom reported was intense itching (pruritus).
    • The most frequently affected body areas were the hands and legs.
    • Lesions resolved within 2-3 weeks in individuals whose pigs were treated and human-animal contact was minimized.

    Conclusions:

    • Human infestation with Sarcoptes scabiei following contact with infested pigs is common.
    • Itching, particularly on the hands and legs, is the hallmark symptom of this zoonotic transmission.
    • Effective management involves treating the infested animal reservoir and preventing further intimate contact.