[TheCruxofBag]

Crusted, or Norwegian, scabies is a much more severe form of the disease. Normally, scabies, which is caused when a female mite burrows into the skin and deposits eggs, causes severe itchiness and a pimple-like rash. However, the elderly, disabled, and those with poor immune systems are vulnerable to crusted scabies. Usually, only between ten and fifteen mites are involved in a scabies infection. In crusted scabies, it can be up to two million. The crusts also protect the mites from usual miticides, making eradication tougher.

This case happened in Podolsk City, Moscow Oblast, Russia, in 2018. A 67-year-old female was admitted to hospital, complaining of crusty-like rashes on her face, body, and limbs. She was suffering from weakness, shortness of breath, and dizziness.

In 2014, the first flakes on the skin of her leg were reported by relatives. She refused a biopsy, and over the next four years she independently used local creams. She rarely washed, so when brown cortical rashes appeared on her body, relatives did not pay much attention. By the time she was reported into hospital, an unpleasant odour was emanating from her.

The patient lived in a 3-room apartment with five household contacts: her husband, her son, a daughter-in-law and two grandchildren. She only regularly had contact with her husband, with practically no contact with the rest. When examining contact persons in the family, typical scabies was revealed in the patient’s husband. The remaining family members were treated prophylactically.

Photo 1: 30th August. 67-year-old patient with Norwegian scabies upon admission to the hospital; scabies mite detected.


Photo 2: 9th September. Clinical signs on the skin at the end of the first 10-day course of therapy (33% sulfuric ointment and 2% salicylic ointment, applied under an occlusive dressing to limited areas of the skin) with armor-like layering of thick crusts. Scabies mite detected.


Photo 3: 23rd September. Clinical signs on the skin at the end of the two 7-day courses of monotherapy with 33% sulfuric ointment. Scabies mite detected in places of crust localization.


Photo 4: 4th October. Clinical signs on the skin after three additional courses of monotherapy with 20% benzyl benzoate ointment. Scabies mite detected.


Photo 5: 15th October. Clinical signs on the skin after an additional course of therapy with 5% concentrate of permethrin in ethanol. Scabies mite not detected.

[kellyhound]

Good as new again.

[ride]

I thought at first she was a mud wrestler, or a septic tank diver.

[SavageGlow]

Omg. That is grody and looks itchy as hell.

[LadyNightmare]

OH THE FUCKING HELL!!!
That is one of the nastiest things ever!!! I am just about that old now and you can bet I know every inch of my old ass, and if I had one nasty crawling on me I would be killing it immediately!!

[mr_feelgood]

Jesus fucking Christ

[SavageGlow]

I had to come back in and freak out again.

You deserve the stars I can't give.

[mintycbo]

You wouldn't see them til it's too late. They're tiny.
Common sense, don't take old/used mattresses, furniture or anything questionable in to your home.
Elderly people tend to have this and bedbug problems by taking used items, ESPECIALLY mattresses, sofas.

I know a woman who has a phobia of scabies and owned a cleaning business... mere mention of scabies would send her up the wall.
(Was almost tempted to send her a link to this.)

[Hogmann]

Nice diaper

[Pyramid_Head]

Looks like that scale shit from Game of Thrones.