New pandemic, old bugs: A case of cimicosis (Bed Bug) in a neglected elderly patient during the coronavirus disease quarantine

Dellatorre, Gerson; Haddad, Vidal

doi:10.1590/0037-8682-0791-2020

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Since a lack of sensation alone should not lead to bed bug colonization of human tissue, this finding in a patient lacking independence in activities of daily living raised the concern for potential elder neglect. 10 …”

Section: Discussionmentioning

confidence: 99%

Bed bug (Cimex spp.) colonization of human host

Harrison

Lawangeen

et al. 2022

JAAD Case Reports

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Section: Discussionmentioning

confidence: 99%

Bed bug (Cimex spp.) colonization of human host

Harrison

Lawangeen

et al. 2022

JAAD Case Reports

View full text Add to dashboard Cite

Bed Bugs (Cimex spp. (Hemiptera: Cimicidae)) as Permanent Ectoparasites: A Rare But Potentially Significant Phenomenon

Pietri

2021

Journal of Medical Entomology

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Bed Bug Infestation: An Updated Review

Leung

Lam

Barankin³

et al. 2024

CPR

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In the past decade, there has been a global resurgence of bed bug infestations, especially in developed countries. Proper awareness and identification of bed bug infestations are essential to guide treatment and eradication. The purpose of this article is to familiarize physicians with bed bug bites so that they can effectively diagnose, treat, and address questions about bed bug bites and infestations. Bed bug bites are often painless. Typical reactions include pruritic, erythematous maculopapules occurring in clusters or in a linear or curvilinear distribution in exposed areas of the body. A small red punctum may be visualized at the center of the bite mark. Lesions that appear three in a row and papules on the upper eyelid associated with erythema and edema are highly suggestive of bites from bed bugs. Exaggerated local reactions such as vesicles, urticarial wheals, urticarial perilesional plaques, diffuse urticaria, bullae, and nodules may occur in previously sensitized individuals. Reactions to bed bug bites are self-limited. As such, treatment is mainly symptomatic. Topical pramoxine and oral antihistamines can be used to alleviate pruritus. Topical corticosteroids can be used for significant eruptions to control inflammation and pruritus, and to hasten resolution of the lesions. Integrated pest management, an approach for the eradication of bed bugs, includes monitoring devices (active monitors include the use of heat or carbon dioxide attractants and passive monitors include the use of sticky pads for trapping), and judicious use of nonchemical and chemical treatments known to be effective. Nonchemical interventions include keeping affected areas clean and free of clutter, vacuuming, washing linens with hot water, caulking wall holes and cracks where bugs can hide, proper disposal of highly infested items, and placement of bed bug traps/interceptors at the base of beds and furniture. Chemical interventions involve the use of insecticides such as synthetic pyrethroids, silicates, insect growth disruptors, carbamates, organophosphates, neonicotinoids, diethyl-meta-toluamide, chlorfenapyr, fipronil and plant essential oils. Insecticides should be used with caution to prevent over-exposure and toxicity (in particular, cardiovascular and neurologic toxicity), especially if there are young children around. It is important to note that multiple mechanisms of insecticide resistance exist and as such, chemical treatment should only be undertaken by trained professionals who understand the current literature on resistance. Both nonchemical and chemical technologies should be combined for optimal results. Bed bug infestations may cause diverse dermal reactions, stigmatization, poor self-esteem, emotional stress, anxiety, significant adverse effect on quality of life, and substantial socioeconomic burden to society. As such, their rapid detection and eradication are of paramount importance. Consultation with a professional exterminator is recommended to fully eradicate an infestation.

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New pandemic, old bugs: A case of cimicosis (Bed Bug) in a neglected elderly patient during the coronavirus disease quarantine

Cited by 4 publications

References 5 publications

Bed bug (Cimex spp.) colonization of human host

Bed bug (Cimex spp.) colonization of human host

Bed Bugs (Cimex spp. (Hemiptera: Cimicidae)) as Permanent Ectoparasites: A Rare But Potentially Significant Phenomenon

Bed Bug Infestation: An Updated Review

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