Atypical Presentation of Pediculus Humanus Capitis Infestation with Periorbital Swelling
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 6
Abstract
Head louse infestation caused by Pediculus humanus var. capitis, usually presents with itching of the scalp as the chief symptom, whereas presence of viable nits confirms the diagnosis. Secondary bacterial infection with impetiginization with cervical and occipital lymphadenopathy can complicate the clinical scenario with physician misdiagnosing pediculosis to a primary bacterial infection. We report an extremely rare presentation of Head louse infestation (Pediculosis capitis) as periorbital swelling in a young girl. A 16- year-old girl presented with painless periorbital puffiness around both her eyes. Ocular bio microscopy and dilated ophthalmoscopy were unremarkable. The hair on her head appeared ropy, dry, teeming with lice and nits. She underwent counseling, received oral antibiotic, encouraged to have repeated head wash and improve her personal hygiene. Specific anti-louse treatment along with combing with a fine toothed comb was advised. After treatment, periorbital swelling subsided, the hair was of normal texture with healthy underlying scalp and no evidence of lice or nits. Pediculus humanus capitis is a common health concern in the pediatric age group and it can also rarely present as periorbital swelling in humans.
Authors and Affiliations
Dr Ankit Soni
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