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All Journal Indonesian Journal of Tropical and Infectious Disease
Meita Ardini Pratamasari
Universitas Airlangga
Earth & Planetary Sciences Health Professions Medicine & Pharmacology Public Health

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NORWEGIAN SCABIES IN AIDS PATIENT: A CASE REPORT Meita Ardini Pratamasari; Indropo Agusni; Cita Rosita Sigit Prakoeswa; Linda Astari; Willy Sandhika
Indonesian Journal of Tropical and Infectious Disease Vol. 6 No. 2 (2016)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (924.82 KB) | DOI: 10.20473/ijtid.v6i2.3163

Abstract

Scabies is a skin infection caused by Sarcoptes scabiei var. hominis. This disease may present severe clinical manifestations in immune-compromised patient, well-known as Norwegian scabies or crusted scabies.A 36-year old man with AIDS had chief complaint thick crust almost all over his body in this case. History of household member infected by scabies before was present. Clinical findings show hyperpigmented macules unsharply marginated, covered with thick scales and accompanied by papules, fissures, and erotion. T cell CD4 level was 12 cell/μL. Scraping examination showed scabies infection and so did the histopathology examination. This patient was treated by topical Permethrin 5% combined with 2-4 ointment application in between permethrin usage. Before topical scabicide was given, thick crust was previously treated by topical urea 10% and wet dressing by normal saline. On day 14 after the patient first came there was lesion improvement.
Co-Authors Cita Rosita Sigit Prakoeswa INDROPO AGUSNI Linda Astari Willy Sandhika