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Scabies is a parasitic infestation of the skin caused by the mite Sarcoptes scabieivar hominisa human pathogenwhich is spread by close physical contact between infected personsWhilst the majority of patients suffer from typical scabiessome patients develop crusted scabiesa severe form of scabies characterised by crusted lesions affecting the palms and solesand thickened and dystrophic nailsScabies infestation can lead to pyodermaskin sores infested with bacteriaespecially group A streptococcus or Staphylococcus aureusThese bacterial infections can cause significant morbidity and is associated with post-streptococcal glomerulonephritisAPSGNand possibly acute rheumatic feverARFrheumatic heart diseaseRHD
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