Two epidemic outbreaks of scabies

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  • Hattori Maiko
    Department of Dermatology，Hashimoto Municipal Hospital
  • Kanazawa Nobuo
    Department of Dermatology，Hashimoto Municipal Hospital Department of Dermatology，Wakayama Medical University

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  • 疥癬集団発生の２事例
  • カイセンシュウダン ハッセイ ノ 2 ジレイ

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Abstract

We experienced two epidemic outbreaks of scabies. In the first incidence,12 inpatients and 2 nurses were nosocomially infected with scabies from a patient with hyperkeratotic scabies(proband). As the proband,who came from a geriatric health services facility,had been diagnosed and treated for pemphigus by his previous doctor,the correct diagnosis was delayed and the epidemic outbreak lasted for two months. The proband died before mites were microscopically negative,although oral ivermectin had been administered 6 times. In the geriatric health services facility,where the proband had been admitted,7 patients were found to be infected with scabies. In the second incidence,epidemic outbreak in a children's home resulted in 23 patients with scabies,including 19 children and an adult living in the home,2 family members of an employee and 1 person living in another home next door. None of them had any underlying diseases and most of them had been diagnosed and treated for atopic dermatitis. In both instances,administration of steroids triggered a worsening of the infection and the significance of early correct diagnosis was reinforced.

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