Scabies: An Itchy Twitch

Hasan Shoaib1, Collin J O'Bryan2, Eliot Rapoport1

  • 1Internal Medicine, University of Illinois College of Medicine Peoria, Peoria, USA.

Cureus
|June 23, 2022
PubMed

Insights

Scabies, a contagious skin disease caused by mites, is common in children and the elderly. This case highlights scabies in North America, challenging its perception as solely a disease of low socioeconomic status.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Epidemiology

Background:

  • Scabies is a highly contagious ectoparasitic infection caused by the mite Sarcoptes scabiei.
  • It disproportionately affects vulnerable populations, including children, the elderly, and immunocompromised individuals.
  • Conventional understanding links scabies prevalence to low socioeconomic status and developing regions.

Observation:

  • A case of scabies was identified in a tertiary care hospital in North America.
  • This presentation occurred in a setting not typically associated with high scabies prevalence.
  • The diagnosis necessitated treatment for the patient and all household contacts.

Findings:

  • The case challenges the traditional epidemiological view of scabies.
  • It underscores the importance of considering scabies in diverse clinical settings.
  • Prompt diagnosis and treatment are crucial to prevent further transmission.

Implications:

  • This case suggests a broader distribution of scabies than previously recognized in developed nations.
  • It highlights the need for increased awareness among healthcare providers in North America.
  • Further research may be warranted to understand the evolving epidemiology of scabies.

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