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Large Nosocomial Outbreak Associated with a Norwegian Scabies Index Case Undergoing TNF-α Inhibitor Treatment: Management and Control

Published online by Cambridge University Press:  19 August 2015

Valeria Belvisi ,
Giovanni Battista Orsi ,
Cosmo Del Borgo ,
Paolo Fabietti ,
Adriana Ianari ,
Francesco Albertoni ,
Patricia Porcelli ,
Concetta Potenza  and
Claudio Maria Mastroianni
Valeria Belvisi
Affiliation:
UOC Malattie Infettive, Ospedale SM Goretti, Università Sapienza, Latina, Italy Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Italy
Giovanni Battista Orsi*
Affiliation:
Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Italy
Cosmo Del Borgo
Affiliation:
UOC Malattie Infettive, Ospedale SM Goretti, Università Sapienza, Latina, Italy
Paolo Fabietti
Affiliation:
UOC Malattie Infettive, Ospedale SM Goretti, Università Sapienza, Latina, Italy
Adriana Ianari
Affiliation:
UOC Rischio Clinico, ASL, Latina, Italy
Francesco Albertoni
Affiliation:
UOC Epidemiologia, ASL, Latina, Italy
Patricia Porcelli
Affiliation:
UOS Malattie Infettive e Prevenzione, ASL Latina, Italy
Concetta Potenza
Affiliation:
UOC Dermatologia, Università Sapienza, Terracina, Italy
Claudio Maria Mastroianni
Affiliation:
UOC Malattie Infettive, Ospedale SM Goretti, Università Sapienza, Latina, Italy Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Italy
*
Address correspondence to Giovanni B Orsi, Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma, P.le Aldo Moro 5, 00185 Roma, Italy (giovanni.orsi@uniroma1.it).
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Abstract

We describe a large outbreak associated with a crusted (Norwegian) scabies case in an immunocompromised patient following treatment with TNF-α inhibitor (adalimumab) for psoriasis arthritis. The increasing use of TNF-α inhibitors should induce clinicians to consider this serious parasitic infection when evaluating skin rashes in patients receiving biologic therapies.

Infect. Control Hosp. Epidemiol. 2015;36(11):1358–1360

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 11 , November 2015 , pp. 1358 - 1360
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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