Parasitic Infections and Infestations
A 36-year-old migrant from Bihar presented with multiple light-colored macules over body along with multiple raised skin-colored papules and plaques over centrofacial area for 1 year. The sensory examination was normal and no nerve was enlarged. Slit skin smears showed the characteristic causative organism on Geimsa stain. The most probable diagnosis is:

A 6-year-old child complained of multiple itchy erythematous papules in a linear pattern over her chest. She had recently been to a riverside camping trip with her parents and they also complained of similar lesions. The appropriate diagnosis and management will be:
A homeless person came with extremely itchy excoriated papules over trunk associated with eczematisation and hyperpigmentation. The best treatment strategy would be:
Pediculosis corporis is also known as Vagabond’s disease and the best treatment is disinfection of clothes as the mite stays in seams of the clothes.
A boy comes from Bihar with persistent macules and papules on the face and back for 6 months. He has been residing in Delhi for 2 years, there was no sensory loss or enlarged nerves and a slit skin smear was negative. The rK39 rapid diagnostic ELISA was positive, which of the following is a possible treatment option?

Diagnosis is PKDL.
A 10-year-old child comes to you with itching on the scalp with enlarged cervical LN. A hair shaft examination reveals the organism depicted below. Which of the following is the least desirable therapy option?

This is still widely used, but relatively ineffective for this indication and with marked resistance.
6. Which of the following statements is true regarding the treatment of scabies? 1. Permethrin 5% cream is a neurotoxic agent 2. Lindane lotion is the worldwide standard, and is superior to permethrin. 3. Permethrin is not licensed below the age of 2 years 4. Crotamiton is a efficacious agent and also prevents itching
A patient of scabies comes with localisation of lesions in the genital area and he has documented history of taking medicines for scabies. Which of the following would be the ideal treatment option in this case apart from antihistamines and a repeat course of ivermectin 200 µg/kg p.o. administered on days 1 and 14?

This is a case of nodular scabies where steroids are the ideal treatment option.