# Case Report: Simultaneous presence of Sarcoptes scabiei and fungal elements in scrapings from a patient with bullous pemphigoid

## TL;DR

A patient developed both scabies and a fungal infection after taking glucocorticoids for a skin condition.

## Contribution

This is the first documented case of concurrent crusted scabies and Candida albicans infection following glucocorticoid therapy.

## Key findings

- Glucocorticoid therapy can lead to concurrent infections like scabies and Candida.
- The patient had bullous pemphigoid treated with glucocorticoids, resulting in secondary infections.
- This case highlights the infection risks even at low glucocorticoid doses.

## Abstract

Glucocorticoids exert their therapeutic effects by broadly suppressing the activity of immune cells, thereby increasing the risk of infection. Although this risk is dose-dependent, a clinically meaningful increase in infection risk persists even at daily doses lower than 5 mg of prednisone equivalent. We herein report the first documented case of a patient who developed concurrent crusted scabies and Candida albicans infection following glucocorticoid therapy for bullous pemphigoid.