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Sir, A mite, Sarcoptes scabiei, is an obligate human parasite that Using the Internet is not without risk. Depression and sexually burrows within the epidermis and causes scabies. The mite is transmitted diseases have recently been reported in connection usually transmitted via close physical contact, such as sexual with the Web (1, 2). intercourse, prolonged handholding or the sharing of a bed. A 32-year-old woman with no signi® cant medical record Indirect transmittal through clothing or bedding is unlikely, presented with a month-old history of generalized itching. She but it may occur. Mites collected from bed linen slept on by had been treated with several symptomatic drugs without infected patients have been shown to penetrate a new host relief. Her itching was severe, worsening at night and after already after just 96 hours (3). Live scabies mites have been bathing and physical exercise. Her sister had also begun recovered from clothes of scabies patients and in dust from to scratch. infested homes (4). On examination, she exhibited papules around the axillae Although we cannot prove that our patient was scabies in the periareolar and periumbilical regions and widespread infested via her distant boyfriend’s sweater, our story suggests excoriations secondary to scratching. The pathognomonic that the Internet spreads not just informatic viruses all over scabies burrows were not detectable on the wrists or on the the world, but parasites too! web-spaces of the ® ngers. Scabies was nonetheless diagnosed by microscopic identi® cation of the mites and eggs. Benzyl benzoate 25% lotion was used and her symptoms rapidly REFERENCES abated. 1. Toomey KE, Rothenberg RB. Sex and cyberspace ± virtual If the story is trivial, by no means was the fomite so. networks leading to high-risk sex. JAMA 2000; 284: 485± 487. For about one year, the patient had chatted repeatedly via 2. McFarlane M, Bull SS, Rietmeijer CA. The Internet as a newly the Internet with a soldier in the United States military emerging risk environment for sexually transmitted diseases. JAMA stationed in Kuwait. Two months before the infestation, the 2000; 284: 443± 446. soldier had sent her a sweater by airmail and symptoms started 3. Arlian LG, Vyszenski-Moher DL, Pole MJ. Survival of adults and approximately 1 month after she had begun to wear it. development stages of Sarcoptes scabiei var. canis when oŒthe Still via the Internet, the soldier promptly revealed how he host. Exp Appl Acarol 1989; 6: 181± 187. had been tormented for many months by a recalcitrant itching 4. Arlian LG, Estes SA, Vyszenski-Moher DL. Prevalence of dermatitis. Military physicians had diagnosed urticaria and Sarcoptes scabiei in the homes and nursing homes of scabietic patients. J Am Acad Dermatol 1988; 19: 806± 811. had treated him with symptomatic drugs, but to no avail.

Kerion due to Trichophyton mentagrophytes : Responsiveness to Fluconazole versus Terbinafine in a Child