A 44-year-old man is seen in a sexual health clinic with persistent itching of the groin and pubic region. He states that he was seen 1 week prior at an urgent care clinic with similar symptoms; he was diagnosed with pubic lice and was treated with 1% permethrin cream. Despite using the cream and decontaminating his bedding and clothing at home as instructed, his symptoms never resolved or improved. He has refrained from sex since his symptoms began. Examination of the pubic region shows numerous lice.
Which one of the following is the most likely diagnosis and the next step in management?
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Question Last Updated
March 11th, 2025
March 11th, 2025
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