#Scabies

[onenicebugperday]

@trans-wolf submitted: I wanted to share this microscopic friend! I work as a vet tech and we had a patient today with scabies! They had the classic presentation of crusty ear tips that were very itchy. We took a skin scrape & lo and behold: our friend Sarcoptes scabiei.

The infestation was mild and it's a straightforward treatment so the dog will be fine. You bet I disinfected like crazy too since they're zoonotic (contagious to humans.)

Despite being a parasite though, I think these guys are so neat! Parasites get too much hate imo. I figured you probably didn't get too many microscopic submissions either. Sorry the mite itself isn't too clear with the fur strands in the way.

Sorry to the itchy dog, but you're right, scabies are cool and fascinating and so are all parasites! Here's a little bit clearer look at a scabies mite:

Photo by cassasauresrex

[flowerishness]

Scabiosa gigantea (giant scabious)

What's in a name?

All flowers have a scientific name but many also sport a common name. With the exception of the stinking corpse lily (Rafflesia arnoldii), most of these common names are positive. Thus Helianthus becomes a sunflower and even the lowly Taraxacum officinale is called a dandelion. Now what could be more ego-enhancing that being compared to a well-dressed lion?

Other flowers are more often called by their scientific name. Campanulas may be known as bellflowers but everyone I know calls them campanulas. Similarly, Scabiosa may be called a pincushion plant but most people refer to them as scabiosas.

Scabiosa is a Latin word that refers to the insufferable scabies mite. This tiny human parasite causes unbelievable itching and is usually contracted with prolonged skin-to-skin contact with someone who is already infected (read: In adults it's usually a sexually transmitted disease). Children can also catch scabies from infected clothing and bedding as well as infected cats and dogs (it can cause 'mange' in pets). These days, a doctor will prescribe Kwellada lotion but in ancient times, rubbing the skin with this plant was the only remedy.

I caught scabies when I was nineteen. I was going through a bit of a sexual 'dry spell' at that time and I caught it from someone else's sleeping bag. I went to the doctor, bought a tube of Kwellada lotion, boiled all my bedding and clothing, and the itching was gone in two weeks. I offer this embarrassing confession as a public service announcement. I assure you, @flowerishness will return to less disturbing content tomorrow.

[gremnaghi]

koruma

i have been ill 😼

[trexalicious]

"Omid has the energy of a goblin..."

Quote from @countesscuriosity 2022

[the-lady-maddy]

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A post shared by Translating Palestine فلسطين (@translating_falasteen)

[virovac]

I really need your help to rescue my children to a safe place as soon as possible🥹https://gofund.me/e50566a8

from dlxxv-vetted-donations

Give the Al-Habil family a better life.

This family consists of Abdel (husband) and Shaima (wife), their young daughter Juri, and Abdel's elderly parents. The gfm page and some of his posts imply more family members, but only these people are involved in this campaign.

They were displaced roughly 2 months after Oct 7 after their home was bombed and has been displaced twice since.

They currently live in a small tent. Living conditions are poor and all members are suffering from malnutrition.

The children have recently contacted scabies, a highly contagious skin infection causing great itchiness and discomfort.

Juri is suffering from depression and psychological trauma at the age of 2.

They are seeking to evacuate.

Update: Aug 25

Members: abdelmutei, shimaashaban22

Verification: link

Payment methods: Paypal, credit/debit

[virdemption]

i love diseases i'm a real diseaser i always gotta have wikipedia open on my phone it's usually on rabies yes yes

[mcatmemoranda]

Scabies treatment:

Permethrin 5% safe for those age 2 months and older; safe in in pregnancy/breastfeeding; apply from the neck down; leave on 8-12 hours, repeat x1.

Kenneth Mellenby did tests on scabies and most people have only 10-20 mites on them. It does not mean the person is dirty. It is just bad luck! It can be considered an STD. These conditions are common and pts should not be stigmatized.

Other scabies treatments:

Ivermectin 0.2 mg/kg/dose; repeat in 2 weeks; works better with permethrin; not for pregnant women or children < 15 kg

Lindane 1% (AEs: neurotoxicity; not safe in peds or pregnant pts)

Can treat intimate contacts if they want treatment, but it’s not necessary. Wash clothes & bed sheets; no need to decontaminate the exam room; just do routine cleaning of exam room.

Crusting scabies – more serious scabies; large, asymptomatic crusting lesions; thick keratotic material on pt’s skin, little pruritis. Found in immunosuppressed pts; pts with dementia, and pts with nutritional disorders. This is much more contagious than typical scabies. If it’s at a nursing home, everyone should be treated.

Lice:

Three types: capitis (head), corporis (body), or pubis (pubic).

Nits are the eggs. You may not see lice. Usually can see nits ~0.25” from the scalp.

Pediculosis corporis (body louse) live on the person’s clothes. These can spread diseases like typhus, trench fever.

Pediculosis pubis (crabs) are the most contagious STD. Maculae cerulea are seen on the body.

Treatment: lice combs

Body lice: Permethrin 1%; get new clothes or wash clothes in really hot water, can wash clothes with permethrin. Body lice can spread disease.

Pubic lice treatment: Permethrin 5% and repeat in 1 week. Can consider ivermectin. Launder clothes in hot water; abstinence x1 week.

Head lice: permethrin 1% (don’t use conditioners/cream rinses during treatment because the medication needs to stay on the hair/scalp); ivermectin 200-400 mg/kg; comb hair; vacuum everything and wash everything. Kids can return to school after first application of treatment.

Bed bugs (cimex lectularius):

Red, erythematous and itchy papules; generally in clusters of 3-5 and can be in a linear pattern.

Treat symptomatically with steroid creams and antihistamines. The bugs are not on the patient. They are in the bed. No need to decontaminate the exam room.

Myiasis/botfly: So gross! Seen in pts traveling to South America. Clinically looks like an abscess with clear, serous exudate. Treatment is removal of the thing!

[shitpostroundhouse]

[miralatina]

When your colleague has scabies and it itches all over you.🪳

[rockinjohnny]

Scabies and ivermectin

[myacare]

SCABIES VS ECZEMA

Scabies and eczema are skin conditions that may look similar appearance-wise but are different.

For example, both scabies and eczema are allergic reactions, but their causes are different. In this article, we will highlight all the major differences between scabies and eczema.