Crusted (Norwegian) Scabies in a Malnourished Geriatric Patient with Dementia

Z. Karakoç, A. Basel, Yesim Koçak, Binnur Pınarbaşı Şimşek, S. Tuğrul, Figen Akın
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Abstract

Norwegian scabies, which is a highly contagious variant of scabies, is a common parasitic infestation in elderly persons living in care homes. Clinical symptoms may be different in this patient group (slow onset and insidious progression, often without intense itching) with the addition of comorbid conditions, such as dementia and neurological diseases. Healthcare workers should be aware of this form of scabies, which is more common in elderly and cognitively impaired patients. Early diagnosis can be made easily by a microscopic examination of skin lesions. Isolation precautions are important measures to prevent outbreaks. The treatment includes keratolytic agents besides topical and oral scabicides because of the high mite burden and hyperkeratotic lesions of the crusted scabies. In this study, we reported on a case who had resided in a geriatric care home. The patient was diagnosed with crusted scabies and died in our intensive care unit with pneumonia.
营养不良老年痴呆患者的结痂性(挪威)疥疮
挪威疥疮是疥疮的一种高度传染性变种,是生活在养老院的老年人中常见的寄生虫感染。该患者组的临床症状可能不同(发病缓慢,进展隐匿,通常无强烈瘙痒),并伴有合并症,如痴呆和神经系统疾病。卫生保健工作者应该了解这种形式的疥疮,这在老年人和认知障碍患者中更为常见。早期诊断可以很容易地通过显微镜检查皮肤病变。隔离预防措施是预防疫情的重要措施。治疗包括角化剂除了局部和口服杀疥疮,因为高螨负担和过度角化病变结痂疥疮。在这项研究中,我们报告了一个住在老年护理院里的病例。病人被诊断为结痂性疥疮,死于重症监护病房的肺炎。
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