case_images: PMC10018284_01
case_images: Clinical presentation of patient when admitted to the hospital (November 8, 2021).
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case_images: From dermatological status multiple hyperpigmented macules, erythematous papules, excoriation, erosion, scales, and crusts were generalized distributed entire the body (Figure 1).
case_images: Result of skin scrapping examination. Skin scrapping showed Sarcoptes scabiei (November 8, 2021 and November 17, 2021) and No Sarcoptes scabiei was seen at skin scrapping (November 23, 2021).
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case_images: Skin scraping examination was performed, and Sarcoptes scabiei mites were found (Figure 2).
case_images: Histopathological result showed subepidermal blister with lymphocytes infiltration in fibromyxoid tissue.
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case_images: The impression of the histopathological examination was scabies bullosa (Figure 3), and pus culture analysis revealed the bacterium Kocuria kristinae, a gram-positive coccus from the Micrococcaceae family, and penicillin-class medications were recommended (Figure 4).
case_images: Result of pus culture showed Kocuria kristinae colony.
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case_images: The impression of the histopathological examination was scabies bullosa (Figure 3), and pus culture analysis revealed the bacterium Kocuria kristinae, a gram-positive coccus from the Micrococcaceae family, and penicillin-class medications were recommended (Figure 4).
case_images: Clinical presentation of patient after 8 days of hospitalization (November 17, 2021).
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case_images: After day 8, new vesicles and blisters appeared on the lower extremities, and the patient received methylprednisolone 3x8 mg/8 hours orally (Figure 5).
case_images: Clinical presentation of patient after 15 days of hospitalization (November 23, 2021).
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case_images: He gradually improved, with some lesions becoming dry, leaving only hyperpigmented and hypopigmented macules (Figure 6).