Abstract
When dermoscopy supports the final diagnosis. A phlegmon and abscess of the neck as a complication of pediculosis capitis
- Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Poland
- 2nd Department of Radiology, Medical University of Gdansk, Poland
- Department of Otolaryngology, Medical University of Gdansk, Poland
Introduction
Pediculosis capitis is a common parasitic disease that occurs most frequently in childhood. The main symptom is pruritus of the scalp. Serious, life-threating complications have been rarely reported in literature.
Objective
To present severe complications of neglected pediculosis capitis and utility of dermoscopy in making a final diagnosis.
Case report
A 38-year-old woman presented to emergency department with the presence of painful, unilateral neck tumor and fever as well as multiple, painful ulcers within the scalp and neck. Based on clinical and computed tomography assessment phlegmon and abscess of the neck were diagnosed. After dermatological assessment, based on clinical and dermoscopic assessment, active pediculosis capitis with secondary bacterial infection was recognized – the most probable initial cause of the life-threating bacterial complications.
Conclusions
Pediculosis capitis is generally associated with a very good prognosis, however when accompanied with particular comorbidities or neglect it can lead to serious complications.
Keywords
dermoscopy, pediculosis capitis, complications, abscess, phlegmon
Coverage in
Integrated with
