Conversation: The conversation between human and AI assistant.
[|Human|] My husband had scabies 3 years ago and got treatment then for them.  He is starting to exhibit signs of them again but they come and go.  He is a clean freak and hasnt stayed in any sub-par hotels/motels.  Can this be a flare up from the first outbreak?
[|AI|]  Hi, Thanks for writing to Chat Doctor. Scabies is caused by a mite called Scopes scabies. It is an intensely itchy dermatitis. It is highly contagious. Furthermore, it spreads from person to person spread occurs via direct contact with the skin. The success of treatment is only by correct application of topical preparations. Scabies patients can be re-infested by untreated contacts. Also, treatment failures have been reported, particularly resistance for the use of medication called permethrin. After effective treatment, itching and skin lesions generally subside within six weeks. Itching and skin lesions can appear on and off if secondary infection with bacteria Staphylococcus aureus. Hence, kindly consult Dermatologist and get properly evaluated for effective management. Hope the information provided would be helpful. All the best.