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Dermatology · Infestations: pediculosis corporis
Sample itemA homeless man has itchy excoriated lesions on the back and waist with lice found in the seams of his clothes. Which serious infection can this louse transmit?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Epidemic typhus
Pediculus humanus corporis lives in clothing seams and transmits Rickettsia prowazekii (epidemic typhus), Bartonella quintana (trench fever) and Borrelia recurrentis (relapsing fever). Treatment is by laundering clothes and disinfestation.
Option by option
A. Kala-azar
Kala-azar is carried by sandflies.
B. Murine typhus
Murine typhus is carried by rat fleas.
C. Scrub typhus
Scrub typhus is carried by chigger mites.
D. Epidemic typhus (correct)
Correct. Body lice are the vector of epidemic typhus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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