Case discussion of peripheral neuropathy case

THIS IS ACTIVE CASE DISCUSSION RELATED TO  PARAPARESIS CASE

Details of the patient are present in following link https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1 and my analysis of the case is present in the following link https://medcases.blogspot.com/2020/05/ive-been-given-this-case-httpshitesh116.html

Case discussion

[29/05/20, 8:48:46 PM] Student1: What is the reason for norwegian scabies in this case? And since he tested negative for all.

[29/05/20, 8:50:27 PM] Post Residency PG1: What is the difference between ordinary scabies and Norwegian and which one did he have?

[29/05/20, 8:51:08 PM] Student2: He had Norwegian scabies sir. It's more likely as he didn't feel any itching sensation

[29/05/20, 8:51:46 PM] Student2: Which is characteristic in Norwegian. 

And it's also more likely to pict in immunosupressed persons

[29/05/20, 8:51:59 PM] Student2: Which he is, due to his regular alcohol consumption

[29/05/20, 8:54:27 PM] PG1: The patient had itching previously but then he got permithrin application done before he has come to our hospital .

May be he scabies got healed partly and he had no itching.

[29/05/20, 8:59:52 PM] Student1: Yeah that could be possible

[29/05/20, 9:00:25 PM] Post Residency PG1: Can you share some literature links and quote the relevant portion?

[29/05/20, 9:00:26 PM] Student1: Okay. So since how long did he have scabies?

[29/05/20, 9:06:01 PM] Post Residency PG1: 👍Better to share the link and quote the text

[29/05/20, 9:07:30 PM] Student2: https://www.medicinenet.com/what_is_norwegian_scabies/views.htm.    

"Crusted scabies almost always affects people with a compromised immune system"

"Interestingly, itching maybe absent or minimal in this form of scabies.

[29/05/20, 9:41:18 PM] Post Residency PG1: 👍