Image in medicine
Superinfected scabies
Sarna sobreinfectada
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Physical examination revealed generalized pustules with central umbilication admixed with erythematous excoriated papules (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1A</a>) located predominately in flexures (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1B</a>), with hands and penile shaft involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1C</a>). He shared a room with 3 partners, none of whom had similar symptomatology, and acknowledged an insertive condomless vaginal sex intercourse one-week before symptoms onset. The patient was admitted for intravenous clindamycin treatment and dressings. Pustules’ swabs for real-time polymerase chain reaction (rt-PCR) ruled out Mpox infection. A disseminated gonococcal infection was excluded through blood and urethral cultures. Finally, a pustule culture identified <span class="elsevierStyleItalic">Streptococcus pyogenes</span>. A thorough physical examination after dermatologic consultation revealed 5–10<span class="elsevierStyleHsp" style=""></span>mm curvilinear desquamative thread-like tracks in hands web spaced, some of them with “delta-wing” sign (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1D</a>), compatible with scabies mite burrows.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Bacterial superinfection can modify scabies’ classic clinical picture. Clinicians should be aware of these possible presentations, as a failure to recognize them could lead to a delay in patient diagnosis and contribute to the spread of the disease.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Data availability statement</span><p id="par0015" class="elsevierStylePara elsevierViewall">The data that support the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available due to privacy or ethical restrictions.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The patient in this manuscript has given written informed consent to publication of his case details.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Funding source</span><p id="par0020" class="elsevierStylePara elsevierViewall">The article has no funding source.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">There are no conflicts of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Data availability statement" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Informed consent" ] 2 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding source" ] 3 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1048 "Ancho" => 1034 "Tamanyo" => 195823 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016200000003/v2_202402160843/S2387020624000135/v2_202402160843/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016200000003/v2_202402160843/S2387020624000135/v2_202402160843/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020624000135?idApp=UINPBA00004N" ]
