How to treat signs of a subcutaneous mite? - briefly
Apply a licensed topical acaricide (e.g., permethrin or ivermectin) to the lesions and use antihistamines or corticosteroid creams to alleviate itching; clean bedding and skin thoroughly. Seek veterinary or medical assessment for accurate diagnosis and possible systemic therapy.
How to treat signs of a subcutaneous mite? - in detail
Subcutaneous mite infestations manifest as skin irritation, localized swelling, and sometimes visible tracks or nodules. Immediate management focuses on eliminating the parasite, relieving inflammation, and preventing secondary infection.
First‑line pharmacotherapy includes topical scabicidal agents such as permethrin 5 % cream applied to the affected area for 8‑10 hours, then washed off. Repeat the application after 24 hours to ensure eradication of newly hatched mites. For extensive lesions, oral ivermectin at a dose of 200 µg/kg, administered once daily for two consecutive days, provides systemic coverage. In cases of severe inflammation, a short course of oral corticosteroids (e.g., prednisone 0.5 mg/kg) can reduce edema and pruritus.
Adjunctive measures support recovery:
- Cleanse the skin with mild antiseptic soap before applying topical agents.
- Apply cool compresses to soothe itching and diminish swelling.
- Use non‑steroidal anti‑inflammatory drugs (e.g., ibuprofen 400 mg every 6 hours) for pain control.
- Keep nails trimmed to limit self‑inflicted skin damage.
- Launder clothing, bedding, and towels at 60 °C or isolate them for at least 72 hours to eradicate environmental stages of the mite.
If bacterial superinfection develops, initiate empiric antibiotic therapy targeting Staphylococcus aureus and Streptococcus pyogenes, such as cephalexin 500 mg three times daily for five days, adjusting based on culture results.
Follow‑up evaluation after one week should confirm resolution of lesions and absence of new tracks. Persistent symptoms warrant repeat ivermectin dosing and reassessment for possible resistance or co‑infestation with other ectoparasites.