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Parasite Infestation on the skin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
User :   scalp-welts-itching-ivermectin works-
User :   small volcano like eruptions
Doctor :   Ok
User :   lice/scabie ruled out. what could it be?
User :   Hello?
Doctor :   Drug induced eruption
User :   no drugs..
Doctor :   like Ivermectin itself causes
Doctor :   Did you meet a skin specialist
User :   haven't taken it in months
Doctor :   Actually it needs a physical seeing to comment about
User :   dermetologist-said fungal infections-shampoo-no results
User :   feels subdermal-like insect
Doctor :   Oral antifungals
Doctor :   should help
User :   no just shampoo
User :   mite like things attack inside of ears
User :   hurry
Doctor :   I am not sure
Doctor :   I need more time
Doctor :   to discuss
User :   Feels subdermal-
User :   Have cats, could it be transmittable-like tooxplasmosis or worms of some kind?
Doctor :   Do you have fever?
User :   I may-(peri-menopause)-but yes night sweats and chills
Doctor :   Since how long you have this symptoms
Doctor :   and what is the first symptom you had
Doctor :   can you describe the series of them
User :   since june-fatique also
User :   doctor did find blast...parasite in stool but did not treat
User :   blasto....
User :   this was after ivermectin which is the only thing that has stopped the symptoms
User :   I really do feel that small worm like creatures do come out of these swollen volcano eruptions
User :   doctor did not take bioposy, she guesses a lot and tries to rule things out, but she is ineffective
Doctor :   Ok
User :   I eat fish a lot-veggies and fruits-no mammals-chain smoking health nut-blood work came back exceptional and I am perfect weight etc
Doctor :   So now your problem is only fatigue, IS it not?
Doctor :   Do you really see any visible lesion on the skin?
User :   No, the welts have come back-I have been up all night with insane itching-even tried lice shampoos but it seemed to make it worse
User :   the treatments were homepathic
User :   homeopathic
Doctor :   Ok
User :   do bed bugs go under the skin?
Doctor :   No
Doctor :   They do not
Doctor :   I think your doctor can be proactive and do more investigations
User :   Do lice or scabies try to infiltrate the ears?
Doctor :   Have you visited any places reently
Doctor :   or before June
Doctor :   No Lice and scabies does not cause such serious eruption
User :   No-but I do teach school (college) a plethera of germs
User :   Raw fish or sushi?
User :   I am writing to you because I will not be going back to the doctor that is so ineffective
User :   Is there a good parasite test that I can take that uses blood-I have heard of this lately
Doctor :   I understand your doctor is not efficient
User :   No traveling-did have a flea infestation at home in March-
User :   What about birds, cats or mice-could they transmit something of this nature?
User :   I know this is not an easy one-but I am desperate for some help
User :   Do you know much about infectious diseases?
Doctor :   Birds, cats and mice can transmit many diseases
Doctor :   I know Infectious diseases
Doctor :   The local infections vary from region to region
Doctor :   The common infections in your region can be rare for us
Doctor :   Let me tell you how do we investigate a case like this
Doctor :   1) CBC
User :   CDC?
Doctor :   2) AEC ( Absolute Eosinophilic count)
User :   Oh
Doctor :   Complete Blood count
Doctor :   3) Stool microscopy
Doctor :   4) IgA and IgE antibodies against parasite antigens
User :   Do the blastomy...results figure in here?
User :   Is there any condition that jumps out at you (no pun intended)
Doctor :   Blasts can be seen in microscopy
Doctor :   Parasitemia
User :   What is it?
Doctor :   any parasitic infection most common in your region
Doctor :   Did you walk bare foot?
Doctor :   Did you eat undercooked pork or beef?
User :   Most doctors are only familiar with one or two common ones
Doctor :   Those ones are which are very common in your region
Doctor :   hence they keep treating people only on them
Doctor :   Others are very rare
User :   I have walked barefoot, but no longer-rarely if ever eat mammals of any kind- are these tests expensive?
Doctor :   Any doctor first has to rule out the common ones
Doctor :   nO
Doctor :   No
User :   How much do these tests generally run?
Doctor :   They run around 500 to 600 USD
User :   There is an anti aging specialist in this city, but she wants $350 for an initial consultation-Can my regular (however ineffective) MD get me out cheaper?
Doctor :   Strongyloides, Tapeworms, Helminths
Doctor :   Yes
User :   Yea, I've been researching them- Are they all subdermal?
Doctor :   Not subdermal
Doctor :   Schistosomiasis
Doctor :   is subderma
Doctor :   Hook work can go subderma;l
User :   Do any of these present themselves mainly on the scalp though?
User :   Can I easily identify them with my own microscope at home?
Doctor :   No
Doctor :   You need a microbiologist help in this
User :   Are these two contagious?
Doctor :   Scalp, fungal, pediculosis are common
User :   I have no mites (not lice) and there are what appears to be small worm like creatures I can dig out (scabies is not visible with the naked eye) This is why these two conditions were ruled out
Doctor :   Scabies usually in scalp and finger webs
User :   Yes, I only have scalp and the strange ear mite thing-appears to be a small red thing with a little white tube-like thing that I suppose is a mouth part
User :   What bites the ears? Are bird or mouse mites a possibility?
Doctor :   Are you sure that you can dig out?
User :   Do lice, bedbugs or scabies try to get in ones' ears?
User :   Yes, I can...
Doctor :   Have you shown that to your doctor?
Doctor :   the worm like thing
Doctor :   or to anyone in your family?
User :   I looked at them under a microscope-No-Didn't want her to think I had parasitic delusional ya da da da-I live alone
User :   My boyfriend has no symptoms, but he has seen the bites/marks/welts etc
Doctor :   How old are you?
User :   I showed her a comb once that had what appears to be red dandruff-and she had no answers-I am 50.
User :   How do I know when the thirty minutes are up?
Doctor :   You will get a counter from last three minutes
Doctor :   like a stop watch
User :   Red dandruff means anything to you other than possible folliculitis?
Doctor :   Bleeding because of scalp lesions caused by the fungus
Doctor :   Pediculosis
User :   Can you prescribe me some ivermectin?
Doctor :   There are other scalp infections which can cause red powdery dandruff
Doctor :   My prescriptions may not be valid
User :   Do any of these infections involve insects etc?
Doctor :   Except lice
Doctor :   no
Doctor :   Tinea, Seborrheoa
Doctor :   Pityrosporum ovale, Malassezia fufur
Doctor :   are common scalp infections

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