Hirstiella spp. Infestation in A Client-Owned Iguana (Iguana Iguana) Associated With Skin Lesions on its Owner

A green iguana (Iguana iguana) was presented for severe pruritus, dysecdysis, reduced appetite, lethargy, and the presence of dark red spots on the entire body. A pruritic dermatitis was present on the owner's arms as well. Parasitological examination (light microscopy) performed on the affected iguana, via skin scraping and acetate tape test, revealed numerous Hirstiella spp. mites. Resolution of clinical signs occurred 3 weeks after daily water bath and 3 weekly applications of a 0.25% fipronil solution (sprayed on a glove and then rubbed on the skin of the lizard) along with application of diluted fipronil (1:5 in water). This is the first case report of potential Hirstiella spp. dermatitis in an adult human. Although uncommon, Hirstiella spp. infestation should be considered as a possible differential in pruritic pet lizards specifically in cases in which the owner presents a papular dermatitis.