(The photo was made by Kong Kiat and treat by webmaster for the site with his agreement)

pxx305. Photo when admit... One of the most severe scabies we ever admit in the last 3 years...

Day 1: After an injection of tramadol we gave a general "cleaning" with benzoate benzyle (avoiding to touch the "open crevasses" to minimize the absorption of the medicine = neurotoxic)... We gave another general cleaning 8 hours after a cleaning with water and soap... Vaseline on joints to permit movements without making new crevasses...

Day 2: Patient was a little bit sleepy. So we decided to give benzoate benzyle on only half of body and wait 5 hours before washing with water and soap... When the skin was soft and moist, we started to "peel" the skin from the body superficially...

Day 3: Neuro OK, no confusion, not sleepy.... Benzoate benzyle over all the body. and only 5 hours before cleaning with water and soap... When skin was soft and moist, we started to "peel" the body more deeply (see next photos)...

Day 4: No treatment.

Day 5: Like day 3

Day 6: No treatment.

Day 7: Like day 3 (see next photos...)

NB Attention! The neurotoxical side effects of Benzoate benzyle can kill a patient!!! Stop treatment immediately (for one day or more) if neurological exam is abnormal (confusion). Start again when neurological condition return to initial status.

See "28-Scabies"