A Case Report of Neonatal Pediculosis: A Simple Challenge, yet Complex

Document Type : Case Report

Authors

Department of Pediatrics, Kasturba Medical College and Hospital, Mangalore, Manipal Academy of Higher Education, Karnataka, India

Abstract

Background: Neonatal pediculosis is a problem the magnitude of which has not been estimated; however, it is regarded as a diagnostic challenge and becomes one of the management challenges for which there are very few managementoptions in terms of age, gestation, and the potential effects of drug toxicity.
Case report: Here, we report a case of preterm who developed pediculosis capitis in the neonatal intensive care unit following contact with the mother during kangaroo mother care (KMC). She was successfully treated with a combination of topical extra virgin coconut and olive oil. Other radical treatments could not be administered due to cultural barriers.
Conclusion: Furthermore, maternal lice were treated with 1 % permethrin, and the KMC re-initiated. For a successful outcome, the education of the mother was equally important. The neonate was found to be free of lice on follow-up. Therefore, it is concluded that in neonatal pediculosis, topical oils are safe alternatives where drug toxicity is a constraint.

Keywords


1. Dagne H, Biya AA, Tirfie A, Yallew WW, Dagnew B. Prevalence of pediculosis capitis and associated factors among schoolchildren in Woreta town, northwest Ethiopia. BMC Res Notes. 2019; 12(1):465.
2. Yetman RJ. The child with pediculosis capitis. J Pediatr Health Care. 2015;29(1):118-20.
3. Nutanson I, Steen CJ, Schwartz RA, Janniger CK. Pediculus humanus capitis: an update. Acta Dermatovenerol Alp PannonicaAdriat. 2008;17(4): 147-54.
4. Verma P, Namdeo C. Treatment of pediculosis capitis. Indian J Dermatol. 2015;60(3):238-47.
5. Bohl B, Evetts J, McClain K, Rosenauer A, Stellitano E. Clinical practice update: pediculosis capitis. PediatrNurs. 2015;41(5):227-34.
6. Mumcuoglu KY, Miller J, Zamir C, Zentner G, Helbin V, Ingber A. The in vivo pediculocidal efficacy of a natural remedy. Isr Med Assoc J. 2002;4(10):790-3
7. Albakri L, Goldman RD. Permethrin for scabies in children. Can Fam Physician. 2010;56(10):1005-6.
8. Integrative PD. Aromatherapy with essential oils (PDQ®). PDQ cancer information summaries. Maryland: National Cancer Institute (US); 2005.
9. Villegas SC, Breitzka RL. Head lice and the use of spinosad. Clin Ther. 2012;34(1):14-23.
10. Madke B, Khopkar U. Pediculosis capitis: an update. Indian J Dermatol VenereolLeprol. 2012; 78(4):429-38.