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Pediculosis is an infestation of lice — blood-feeding ectoparasitic insects of the order Phthiraptera.[1][2] The condition can occur in almost any species of warm-blooded animal (i.e., mammals and birds), including humans.[1][2] Although “pediculosis” in humans may properly refer to lice infestation of any part of the body, the term is sometimes used loosely to refer to pediculosis capitis, the infestation of the human head with the specific head louse.
Pediculosis humanus capitis infestation is most frequent on children aged 3-10 and their families. Females get head lice more often than males, and infestation in the black ethinicity is rare.[3]
Head lice are spread through direct head-to-head contact with an infested person. From each egg or “nit” may hatch one nymph that will grow and develop to the adult louse. Lice feed on blood once or more often each day by piercing the skin with their tiny needle-like mouthparts. Lice cannot burrow into the skin.
In order to diagnose infestation, the entire scalp should be combed thoroughly with a louse comb and the teeth of the comb should be examined for the presence of living lice after each time the comb passes through the hair. The use of a louse comb is the most effective way to detect living lice.[4]
The most characteristic symptom of infestation is pruritus (itching) on the head which normally intensifies 3 to 4 weeks after the initial infestation. The bite reaction (Fig. 5) is very mild and it can be rarely seen between the hairs.
The most common symptom of lice infestation is itching. Excessive scratching of the infested areas can cause sores, which may become infected. In addition, body lice can be a vector for louse-borne typhus, louse-borne relapsing fever or trench fever.

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