Scabies, known as the seven-year itch, is a contagious skin infestation by the mite Sarcoptes scabiei. The most common symptoms are severe itchiness and a pimple-like rash. Occasionally tiny burrows may be seen in the skin. When first infected, usually two to six weeks are required before symptoms occur. If a person develops a second infection later in life, symptoms may begin within a day. These symptoms can be present across most of the body or just certain areas such as the wrists, between fingers, or along the waistline. The head may be affected, however this is typically only in young children, and not in older children or adults. The itch is often worse at night. Scratching may cause skin breakdown and an additional bacterial infection of the skin.