Page 172 - LECTURE NOTES
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2. Incubation period
Three to four weeks after exposure to an infected person. The adult female mite burrows
into the superficial layer of the skin and start to lay an eggs daily for up to 2 months and
she will die and the egg will hatch in 3 to 4 days and being develop adult mites with in 10
days.
3. Clinical Picture
¾ Seeing the raised area where the mite burrows.
¾ There is much itching especially at night.
¾ As the result of penetration of mite there is visible papule or vesicle lesion around
the fingers webs, anterior surface wrist, elbow, breasts, waist and buttocks.
¾ Through scratching there will be infection that are manifested by pus formation on
the area.
4. Management
¾ Cut fingernails short.
¾ Apply benzyl benzoate lotion every day at nighttime for 3 days.
¾ Tell the patient to take warm, soapy bath or shower to remove the scaling debr’s or
crust, before treatment and after treatment.
¾ Use clean clothing and bedclothes. The dirty cloth should be boiled, wash in
disinfectant and dried in the sun and if it is possible iron it.
¾ If secondary infection present refer the patient.
¾ Sulfur ointment may be used, if benzyl benzoate is not available.
¾ Treat all family members
7.12. Brief summary of Prevention and control of common Skin infections
The Skin and Infections Associated With It
Skin diseases are common through out Africa and are dominated by bacterial and
superficial fungal infections. The eczemas are ubiquitous. In some areas discoid lupus
erythematosus is common and lichen planus is seen far more frequently than in
temperate countries. Then there are the more chronic infections. These are: Leprosy,
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