Sarcoptes
Sarcoptes scabiei is a species of mite responsible for the condition known as scabies in humans. These microscopic arachnids burrow into the upper layer of the skin, causing intense itching and a pimple-like rash. The condition is highly contagious and spreads through direct skin-to-skin contact or through sharing of personal items such as bedding or clothing.
Life Cycle
The life cycle of Sarcoptes scabiei consists of four stages: egg, larva, nymph, and adult. After mating on the surface of the skin, the female mite burrows into the skin to lay eggs. The eggs hatch into larvae, which then surface to the skin and molt into the nymph stage. After several molts, the nymphs mature into adults. The entire cycle from egg to adult takes approximately 10 to 14 days.
Transmission
Transmission of Sarcoptes scabiei occurs primarily through prolonged direct skin-to-skin contact with an infected individual. It can also spread through contact with infested clothing, bedding, or furniture. Scabies is a common condition worldwide and affects people of all ages, races, and social classes.
Symptoms and Diagnosis
The primary symptom of a Sarcoptes scabiei infestation is severe itching, especially at night. The rash can appear anywhere on the body but is most commonly found in the webbing between the fingers, on the wrists, elbows, armpits, waist, buttocks, or genitals. Diagnosis is typically made based on the appearance of the rash and can be confirmed by identifying the mite, its eggs, or fecal matter under a microscope.
Treatment
Treatment for scabies involves the application of prescribed scabicides that kill the mites. It is also important to treat all close contacts and to wash all clothing, bedding, and towels in hot water to prevent re-infestation.
Prevention
Prevention of Sarcoptes scabiei infestation includes avoiding direct skin-to-skin contact with an infected person and their belongings. Regular washing of clothing, bedding, and towels can help reduce the risk of transmission.
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Contributors: Prab R. Tumpati, MD