Work

Bound by tradition: severe pediculosis capitis in a breastfeeding mother with religious headwear

Year: 2025

Type: article

Abstract: A 25-year-old breastfeeding woman from rural India presented with a 2-month history of intense scalp pruritus, formication and fever. Examination revealed a severe Pediculus humanus capitis infestation involving her scalp, face and religious headscarf, with extensive live lice, nits, pustules, excoriations, crusted papules and dermatopathic lymphadenopathy. Treatment with permethrin 1% lotion and weekly oral ivermectin for 4 weeks, in conjunction with broad-spectrum antibiotics and supportive care, resulted in near-complete eradication. This case represents one of the most severe presentations of pediculosis capitis documented, demonstrating how cultural practices can impede early detection and complicate management.

Source: Skin Health and Disease

DOI: 10.1093/skinhd/vzaf079

Authors: Varun H, Hanumanthaiah H C, Adarshlata Singh, Bhushan Madke, Lamiya Latheef, Prerit Sharma

Institution: Datta Meghe Institute of Higher Education and Research

Language: English

Topic: Dermatological diseases and infestations

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,597