My mother who is 82 and lives with DH and I, had a 5-day stay in the hospital for a GI bleed (completely resolved) in early December 2015. I stayed with her during the 5 days and slept in a chair (recliner-type) beside her during the night.
It appears she brought home a case of the scabies with her and she has been going through hell. She started with a rash on her buttock and then it spread to all the other locations that have skin on skin contact and are warm and moist (armpits, under the breasts, bellybutton, crotch, etc.).
We went to the dermatologist and saw the nurse practioner who looked at her rashy armpit (only) and diagnosed it as either a bacterial or fungal rash due to not enough showers (mom takes 2-3 per week). Apparently, it is not unusual for older folks to get skin infections as they get older and cut back on showers because they can be hard work. The nurse was advised mom had been in the hospital for 5 days about 6 weeks prior.
Mom was directed to take daily showers and apply fungal powder in the morning and antibiotic cream in the evening. After a week of this there was no improvement and mom was about to go crazy with the insane itch that was waking her up at night.
We went back to the derm and the nurse practitioner diagnosed scabies (no skin scraping taken) based on the rash (looked only at the armpit again) and the insanity producing itch. She prescribed the Premetherin cream which is applied all over and left on for 8+ hours and then washed off. The nurse also prescribed an antihistamine that stopped the itching but mom felt some throat swelling after about 3 days of taking them so she stopped. Just taking generic Benadryl now.
The day before mom went to the derm for the second time, she had a regularly scheduled primary care visit. The nurse looked at her terrible rash and didn't know what it could be but the doc decided to take a skin biopsy. That was sent out on 1/27 and no results are in yet.
Mom's itch started to ratchet up again on Wednesday which was 5 days after she applied the Premetherin cream. The derm nurse had put refill on the Premetherin prescription but had said during the office visit that one application would be sufficient. We got the second tube, made a phonecall to the derm, and were given the go ahead to make another application. Today I slathered her up again from neck to toes and am throwing all her clothing and bedding into a long, hot wash and hot dry.
Has anyone been through this? Any tips or tricks? I've also read on the web about a pill that can be prescribed but apparently the cream is more effective so that is what is typically prescribed. I spoke to one of the derm office nurses today and she said they don't typically prescribe the pill. Mom is going back to the derm Tuesday (2-9). I will bring up the pill with the nurse practitioner. If there aren't any wicked side affects, why not add to the arsenal?
I called the hospital after the scabies diagnosis was made to ask if they had had any issues. None, they said. Once we get the biopsy back or a confirmatory skin scraping (technically, I still have no proof of scabies), I will go to the health department and make a report. DH and I have had no symptoms but, of course, every itch is suspect. I feel so bad for my mom and I just want her to be well! I thank my lucky stars that I RE'd (it's almost been 5 years now) and I'm able to give my mom the care and attention she needs.
It appears she brought home a case of the scabies with her and she has been going through hell. She started with a rash on her buttock and then it spread to all the other locations that have skin on skin contact and are warm and moist (armpits, under the breasts, bellybutton, crotch, etc.).
We went to the dermatologist and saw the nurse practioner who looked at her rashy armpit (only) and diagnosed it as either a bacterial or fungal rash due to not enough showers (mom takes 2-3 per week). Apparently, it is not unusual for older folks to get skin infections as they get older and cut back on showers because they can be hard work. The nurse was advised mom had been in the hospital for 5 days about 6 weeks prior.
Mom was directed to take daily showers and apply fungal powder in the morning and antibiotic cream in the evening. After a week of this there was no improvement and mom was about to go crazy with the insane itch that was waking her up at night.
We went back to the derm and the nurse practitioner diagnosed scabies (no skin scraping taken) based on the rash (looked only at the armpit again) and the insanity producing itch. She prescribed the Premetherin cream which is applied all over and left on for 8+ hours and then washed off. The nurse also prescribed an antihistamine that stopped the itching but mom felt some throat swelling after about 3 days of taking them so she stopped. Just taking generic Benadryl now.
The day before mom went to the derm for the second time, she had a regularly scheduled primary care visit. The nurse looked at her terrible rash and didn't know what it could be but the doc decided to take a skin biopsy. That was sent out on 1/27 and no results are in yet.
Mom's itch started to ratchet up again on Wednesday which was 5 days after she applied the Premetherin cream. The derm nurse had put refill on the Premetherin prescription but had said during the office visit that one application would be sufficient. We got the second tube, made a phonecall to the derm, and were given the go ahead to make another application. Today I slathered her up again from neck to toes and am throwing all her clothing and bedding into a long, hot wash and hot dry.
Has anyone been through this? Any tips or tricks? I've also read on the web about a pill that can be prescribed but apparently the cream is more effective so that is what is typically prescribed. I spoke to one of the derm office nurses today and she said they don't typically prescribe the pill. Mom is going back to the derm Tuesday (2-9). I will bring up the pill with the nurse practitioner. If there aren't any wicked side affects, why not add to the arsenal?
I called the hospital after the scabies diagnosis was made to ask if they had had any issues. None, they said. Once we get the biopsy back or a confirmatory skin scraping (technically, I still have no proof of scabies), I will go to the health department and make a report. DH and I have had no symptoms but, of course, every itch is suspect. I feel so bad for my mom and I just want her to be well! I thank my lucky stars that I RE'd (it's almost been 5 years now) and I'm able to give my mom the care and attention she needs.