History: Introduction of the 35-year-old kindergarten teacher because of an existing for a week inflammation of the right ear with increasing swelling, itching and burning. It does this even back a deepening Scratch restraint at for the past three weeks existing itching of the scalp. First, a hair dye had been considered as the cause that had been advised to change her. Local findings: The helix of the left ear is swollen erythematous, some weeping and yellowish crusty occupied . Also retroauricular clear serous oozing inflammation.
Erythematous papules and follicular pustules on the neck . In particular, retroauricular and occipital next to yellowish crusts shed hair laterally adherent white corpuscular elements are recognizable. On closer inspection, Nissen , and finally isolated head lice can be identified. Microbiology: Smear Helix: Staphylococcus aureus, Staphylococcus epidermides.…