Difference between revisions of "Bed bugs"

(Discharge)
(Bed bugs treatment)
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==Management==
 
==Management==
 +
*Antihistamine for pruritis
 +
*Consider topical steroids to decrease inflammation
 +
**No evidence that medications improve outcomes
 +
*Treat systemic reactions similar to [[anaphylaxis]] (rare)
 +
*Self-limited 1-2 weeks without treatment
 +
*Eradication using pesticides and other traditional approaches.
  
 
==Disposition==
 
==Disposition==

Revision as of 04:35, 22 January 2016

Background

  • Cimex lenticularis.
  • Bed bug bites known as Cimicosis.
  • Attracted to CO2, warmth, exposed surfaces.
  • Hide near beds, cracks, crevices. Feed at night.
  • May appear translucent (nymphs,) brown (mature bug,) red (after meal,) black (after digestion.)
  • Belong to Hemiptera like kissing bugs which are vectors for trypanosomiasis (Central and South America.)

Clinical Features

  • Pain immediately after bite. Pruritis may take days to develop.
  • Hyperpigmented, erythematous papules
  • Classic line of bites: "breakfast, lunch, and dinner"
Bed bug
Bedbug with classic hemmoragic appearance and punctate center

Differential Diagnosis

Domestic U.S. Ectoparasites

See also travel-related skin conditions

Workup

Clinical diagnosis, based on history and physical exam.

Management

  • Antihistamine for pruritis
  • Consider topical steroids to decrease inflammation
    • No evidence that medications improve outcomes
  • Treat systemic reactions similar to anaphylaxis (rare)
  • Self-limited 1-2 weeks without treatment
  • Eradication using pesticides and other traditional approaches.

Disposition

Discharge

See Also

External Links

Sources