Scabies with Secondary Infection Resembling Kerion-Type Tinea Capitis

An 8-year-old boy presented with painful red lumps, pus discharge, and alopecia on his scalp, initially suspected to be kerion-type tinea capitis. However, microscopic examination revealed Sarcoptes scabiei mites, leading to a diagnosis of impetigenic scabies. Treatment with 5% permethrin cream, oral antihistamines, and antibiotics resulted in significant improvement, with hair regrowth observed by the third week. The case highlighted the variability in scabies manifestations and the importance of simple laboratory tests for accurate diagnosis and effective treatment.