Down Under

A 19 year old college student presents with itching of the pubic area for 2 weeks. He was otherwise asymptomatic.

This is his first such episode, while his medical history is unremarkable.

He is currently in a sexual relationship with his girlfriend.

Select Relevant Investigations
Microscopy of Plucked Pubic Hair

Performed

Nits with viable embryos are seen
Microscopy of Skin Scrapings

Performed

No mites, ova or nits are seen.
Screen for STIs

Performed

No other STIs are detected.
Skin Biopsy

Performed

No abnormalities are noted

Select Relevant Management
Permethrin 1% cream
Topical Steroids
Oral Cephalexin
Treat Partner