NORWEGIAN SCABIES – RARE CAUSE OF ERYTHRODERMA - CASE REPORT -
Abstract:
Scabies is a public health problem that can affect patients of any socio-economic background. A particular form of scabies is the Norwegian scabies, which appears more frequently in patients who are immunocompromised, malnourished or HIV-positive. We report a case of 79-year-old patient admitted to our Dermatology Department on the grounds of a generalized erythematous-squamous rash, intensely pruritic and with infected erosive-ulcerative areas in the right buttock. During hospitalization, the rash became erythrodermic with very abundant, sticky, greasy, dirty-looking scales, and demonstrated a rapid reoccurrence trend. The case was complicated by severe a toxic-septic status and electrolyte disturbances. By collating the clinical, parasitological and histopathological aspects, we established the Norwegian scabies diagnosis. The therapy included: systemic antibiotherapy, hydroelectrolytic rebalance and local scabicide treatment, which then led to the healing of the disease. In conclusion, this article argues that the Norwegian scabies may pose problems of differential diagnosis with specific treatment delay. This can lead to a worsening of the rash and the appearance of some complications (erythroderma and/or toxic-septic status). In addition, undiagnosed scabies, especially in institutionalized patients, can be a source of infectious outbreaks in the surrounding environment.
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