PMC10018284_01
Clinical presentation of patient when admitted to the hospital (November 8, 2021).
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From dermatological status multiple hyperpigmented macules, erythematous papules, excoriation, erosion, scales, and crusts were generalized distributed entire the body (Figure 1).
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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Skin scraping examination was performed, and Sarcoptes scabiei mites were found (Figure 2).
Histopathological result showed subepidermal blister with lymphocytes infiltration in fibromyxoid tissue.
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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).
Result of pus culture showed Kocuria kristinae colony.
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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).
Clinical presentation of patient after 8 days of hospitalization (November 17, 2021).
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After day 8, new vesicles and blisters appeared on the lower extremities, and the patient received methylprednisolone 3x8 mg/8 hours orally (Figure 5).
Clinical presentation of patient after 15 days of hospitalization (November 23, 2021).
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He gradually improved, with some lesions becoming dry, leaving only hyperpigmented and hypopigmented macules (Figure 6).