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Diagnosing and treating Phthirus pubis palpebrarum.

Phthiriasis palpebrarum is an uncommon cause of blepharitis and conjunctivitis and may easily be overlooked. A high index of suspicion and careful examination of the patient's lid margins and eyelashes will lead to the proper diagnosis. Treatment is best accomplished by careful removal of the lice and nits (louse eggs) from the patient's lashes. Local application of a pediculocide such as yellow mercuric oxide N.F. 1% ophthalmic ointment applied twice daily for one week or 0.25% physostigmine (Eserine) ointment applied twice daily for a minimum of ten days, to the lid margins should be considered when the total removal of Phthirus pubis and nits is not possible mechanically. Body hair should be examined for infestation with lice and treated with gamma benzene hexachloride shampoo. This medication should be used with caution in infants, children and pregnant women. Family members, sexual contacts, and close companions should be examined and treated appropriately; clothing, linen and personal items should be disinfected with heat of 50 degrees C for 30 minutes.

Adult↗

Treatment of infestation with Phthirus pubis: comparative efficacies of synergized pyrethrins and gamma-benzene hexachloride.

In recent years there has been a steady increase in the incidence of infestation with Phthirus pubis, a sexually transmitted louse. A recently introduced nonprescription liquid pediculicide, whose major ingredient is 0.3% pyrethrins synergized by 3.0% piperonyl butoxide (RiD), was compared for efficacy and safety with a prescription-only pediculicidal lotion whose major ingredient is 1% gamma-benzene hexachloride (Kwell). Thirty adult man and women with P. pubis infestation were assigned randomly to treatment with either the synergized pyrethrins or gamma-benzene hexachloride. A single 10-min application of the synergized-pyrethrin liquid produced the same results as a single 12-hr application of the gamma-benze hexachloride lotion: total eradication of adult lice and nymphs, cessation of pruritus, and no treatment-induced side effect. A follow-up visit a week after treatment verified all eradications.

Adolescent↗

Scalp infestation by Phthirus pubis in a 6-week-old infant.

This case report describes a 6-week-old infant with a Phthirus pubis infestation of the scalp. It is believed this patient is the first reported case in this age group. Treatment is discussed, as are the family dynamics that put this infant at risk. The authors address the possible association between infestation and child abuse.

Adult↗

In vitro control of Phthirus pubis with four pediculocides: Eurax, Elimite, Licid and Benzanil.

Phthirus pubis, Linnaeus 1758 that causes phthiriasis is a common infestation disease. However, it is commonly be acquired in jails, brothels, and other similar places. The efficacy of four insecticides commercially known as Eurax, Elimite, Licid, and Benzanil was evaluated for controlling pubic lice in vitro. The four test insecticides proved to be very effective. However, they differed in time needed for causing 100 percent mortality and they could be arranged descendingly as follows: Licid, Eurax, Elimite, and Benzanil.

Animals↗