Crusted scabies due to indiscriminate use of glucocorticoid therapy in infant

Crusted or Norwegian scabies is a parasitic infectious disease caused by Sarcoptes scabiei var. hominis that mainly affects immunocompromised individuals and those with neurological patients. We report a case of crusted scabies in a 4-month-old infant who had been treated erroneously for atopic derm...

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Published inAnais brasileiros de dermatología Vol. 92; no. 3; pp. 383 - 385
Main Authors Lima, Fernanda Carvalho da Rocha, Cerqueira, Ana Maria Mósca, Guimarães, Manuela Boleira Sieiro, Padilha, Carolina Barbosa de Sousa, Craide, Fernanda Helena, Bombardelli, Marina
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Sociedade Brasileira de Dermatologia 01.06.2017
Subjects
Adolescent
Adrenal cortex hormones
Case Report
DERMATOLOGY
Diagnostic Errors
Fatal Outcome
Glucocorticoids
Glucocorticoids - adverse effects
Humans
Immunocompromised Host
Infant
Male
Permethrin - therapeutic use
Scabies
Scabies - complications
Scabies - diagnosis
Scabies - drug therapy
Sepsis
Sepsis - etiology
Sepsis
Adrenal cortex hormones
Glucocorticoids
Scabies
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Summary:Crusted or Norwegian scabies is a parasitic infectious disease caused by Sarcoptes scabiei var. hominis that mainly affects immunocompromised individuals and those with neurological patients. We report a case of crusted scabies in a 4-month-old infant who had been treated erroneously for atopic dermatitis with high doses of corticosteroids. This initial misdiagnosis associated with the abusive use of corticosteroid facilitated the evolution of scabies to crusted scabies and its main complications of secondary infection and sepsis.
ISSN:0365-0596
1806-4841
1806-4841
0365-0596
DOI:10.1590/abd1806-4841.20174433