An 18-month-old boy presents with pruritic, papular lesions over the groin and prepuce. The infant has not been eating or sleeping well. All of the following are indicated in this patient, EXCEPT:
In infants with scabies the symptoms are itch or pruritus which is intense at night or nap-time. It can be so severe that the child can be so irritable and even refuse to eat. The characteristic lesions are burrows but they are not commonly seen. The papular, pruritic rash is most pronounced around abdomen, lower poion of buttocks, the axillary folds and the elbows. Treatment includes treating all the members of the family. Dispose clothes or laundry with good sunlight exposure is essential. Scabicidal treatment can be commenced. Antihistamines help reduce the pruritus. Although secondary infection is a complication, an IV antibiotic is not indicated in this case. Ref: Clinical Pediatric Dermatology, By Thappa, Pages 38-39, Elsevier India 2009.
Anti histamines and scabicidal solution
Treat all family members
Dispose the clothes
Sta IV antibiotics