Thursday, March 12, 2009

Crusted Scabies

Another disease that's rare in the US but prevalent in the NT is crusted scabies. Scabies is a fairly common skin condition that results from infestation with the mite, Sarcoptes scabiei. Crusted scabies, is caused by the same mite that causes scabies in the US. However, crusted, or Norwegian scabies, is a severe form of the disease that results from hyper-infestation with thousands of mites. It's thought that it results from a failure of the infected individuals immune system to control the proliferation of the mite.

Scabies is endemic among the Aboriginal population of the NT with estimates of up to 50% of Aboriginal people infested with the mite & the NT has the highest rates of crusted scabies in the world. It's a very serious disease & has a reported mortality rate of up to 50% over five years & requires admission to the hospital for intensive treatment.

This week, I saw my first case of crusted scabies. We admitted a 64-year-old indigenous woman who was found outdoors unconscious, severely malnourished, & infested with a rampant case of crusted scabies. Practically every surface of her body was involved with her scalp & arms being the most severely affected with heaped up layers of crust. She's such a sad wisp of humanity--severely cachectic weighing little more than 70-80 lbs. We've suspected systemic sepsis from secondary pyoderma & have been treating her with antibiotics in addition to the scabies treatments. This morning, she had an asystolic cardiac arrest & is now in the ICU . . . Very sad. I've never seen anything like this. The severity of & extent of pathology in the diseases I'm seeing here really hit me today, ans the indigenous patients carry a disproportionate burden of disease & so many of them are young & extremely sick.

1 comment:

  1. There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    drrealakhigbe@gmail.com    and his Number +2349010754824

    ReplyDelete