You are on page 1of 20

1

dr. Uun Khusnul Khotimah, SpKK


2
Zoonosis : skin disease caused by
various parasites
This disease is often found in :
o Crowded areas
o Low socio-economic condition
o Poor sanitation and hygiene

In the eradication effort, these attempts
are needed:
Early diagnosis and prompt treatment
Public health education about :
- Prevention
- Proper hygiene
- Reservoir-host-vector control
3
The causes of this disease are divided into
3 major groups :

1. PROTOZOA : - Amoebiasis
- Trichomoniasis

2. NEMATODA : - Oxyuriasis / enterobiasis
- Ground itch
- Cutaneous larva migrans
- Current larva
- Filariasis
- Dracunculiasis

3. ARTROPODA : - Scabies
- Pediculosis
4
Causative agent : Ancylostoma braziliensis,
Ancylostoma caninum, &
Uncinaria stenocephala

Mostly affects children, miners and farmers.



5
Pathogenesis :
Adult hookworm in dogs / cats small intestines

Eggs (in animal faeces)

Rhabditiform larvae (soil)

Filariform larvae (soil)
penetrate
The skin

Creeping eruption
6
Clinical features :

- Common locations are on the buttocks,
feet, & hands.

- The diameter of the lesion is 1 4 mm,
red in color, a bit raised,
like a coiled thread.
7
Typical track of CLM located on plantar aspect of foot.
8
Vesiculobullous lesion of CLM.
9

Diagnosis : typical lesion manifestation

Treatment :
Topical :
- Classic : Chlorethyl spray, CO2, liquid N2
- Thiabendazole 10%
- Albendazole 2%
Systemic :
- Thiabendazole 25 mg/kgBW/day 2 days
- Albendazole 50 mg/kgBW/once a week
10
Method of transmission :
- Direct handshake, sexual contact
- Indirect through objects

Etiology : Sarcoptes scabiei var hominis

Life cycle : Female mites in stratum corneum

Eggs
34 days
Larvae 1014
days
Mites

11
Clinical features :

- Predilection : in-between fingers,
flexor of the wrists,
genitalia, axillae folds,
lower abdomen, buttocks.

- Lesion papule, vesicle,
excoriation/secondary infection,
sometimes forming burrows.
12
Clinical variations :
Incognito scabies
Scabies in infants &
children
Noduler scabies
Scabies transmitted
by animals
Scabies in a clean
Norwegian scabies

13
14
Additional examinations :
- Microscopic mites, eggs, faeces
- Burrows tetracycline
- Skin biopsy

Diagnosis :
- Itch, especially at night-time
(nocturnal itching)
- History of infection on members of the
family / people living under the same roof
- Characteristic distribution of lesion
- Characteristic lesion burrows
- Definite diagnosis mites, eggs, faeces
- Tx antiscabies improvement
15
Treatment :
Gamexan 1%
Crotamiton 10%
Sulfur 5 10%
Benzoil benzoate 20 35%
Permethrin 5%
To achieve treatment success :
- Treat every contact person
- Correct drug administration
- Washing clothes and towels with hot water,
air mattress under the sun
- Avoid excess treatment
16
P. capitis P. humanus var capitis
P. corporis P. humanus var corporis
P. pubis Phtirus pubis

Pathogenesis :
- Direct contact
- Indirect contact
17
P. CAPITIS
Clinical manifestation : often affects children
Symptoms :
- itch, especially on the occipital &
temporal parts excoriation, erosion /
secondary infection
- swelling of the lymph glands

P. CORPORIS
Clinical features :
- hemorrhagic macules / papules with
punctum in the middle
- urtica
18
P. PUBIS
Mites pubic hair, eyebrows, eyelashes,
axillae region, sometimes body hair
Clinical features :
- itch excoriation / secondary infection
- Characteristic maculae cerulae
19
Diagnosis :
P. capitis : shiny eggs on hair, mites
P. corporis : eggs / mites on clothes folds
P. pubis : eggs / mites on pubic hair,
eyelashes, body hair
Treatment :
P. capitis : - gamexan 1% shampoo
- permethrin 1% cream
- crotamiton 10% cream / lotion
P. corporis : - gamexan 1%
- Washing clothes / bed sheets
using hot water / ironing them
P. pubis : - petrolatum
- physostigmine 0,025% eye oint
20

You might also like