Crusted Scabies Complicated with Herpes Simplex and Sepsis

Area of Science:

• Dermatology
• Infectious Diseases
• Virology

Background:

• Crusted scabies is a severe, contagious skin infestation caused by *Sarcoptes scabiei*.
• Kaposi's varicelliform eruption (KVE) is a widespread herpes simplex virus infection often seen in patients with underlying skin conditions.
• The co-occurrence of crusted scabies and KVE is exceptionally rare.

Observation:

• A middle-aged woman presented with crusted scabies.
• She subsequently developed Kaposi's varicelliform eruption superimposed on her crusted scabies.
• The patient's condition was complicated by sepsis.

Findings:

• This case represents a rare instance of Kaposi's varicelliform eruption occurring in the context of crusted scabies.
• The patient received treatment with intravenous meropenem, vancomycin, and acyclovir.
• She recovered and was discharged in good condition within two weeks.

Implications:

• Early recognition and prompt management of KVE in crusted scabies patients are crucial.
• This rare complication can lead to severe outcomes like sepsis if not treated effectively.
• Further case reports may elucidate the pathogenic mechanisms and optimal treatment strategies for this rare condition.