A 34-year-old male healthcare provider presented with a dry, itchy rash on his lower legs that had been present for two weeks. He was initially diagnosed with an intestinal worm infection but the rash persisted. He was later diagnosed with atypical nosocomial scabies, a hospital-acquired scabies infection. Over several weeks and visits, he was treated with multiple medications including albendazole, benzyl penicillin, hydrocortisone, cetirizine, ivermectin, and benzyl benzoate. Cleaning his clothing and bedding was also recommended. After almost three months of treatment, oral ivermectin and topical benzyl ben