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Pediculosis Pubis

Down Under

Step 1: View clinicals

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.

Step 2: Order all relevant investigations

Microscopy of Plucked Pubic Hair

Nits with viable embryos are seen

Microscopy of Skin Scrapings

No mites, ova or nits are seen.

Screen for STIs

No other STIs are detected.

Skin Biopsy

No abnormalities are noted

Step 3: Select appropriate management

Permethrin 1% cream
Topical Steroids
Oral Cephalexin
Treat Partner

Score: ★★☆