"Kissing Bug" Bite

SHIELDS, T. L.

doi:10.1001/archderm.1956.01550070016004

Cited by 33 publications

(20 citation statements)

References 9 publications

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“…Kissing bugs earned their name for their predilection to bite on or near the lips. [333][334][335][336][337][338][339] Using their specialized probosci, kissing bugs take a blood meal, then characteristically turn around and defecate immediately after feeding. The trypanosomes are inoculated when the victim subsequently scratches the infected feces into the wound.…”

Section: Reduviid Bugsmentioning

confidence: 99%

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Arthropods in dermatology

Steen

Carbonaro

Schwartz

2004

Journal of the American Academy of Dermatology

171

127

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Section: Reduviid Bugsmentioning

confidence: 99%

“…In these instances, the victim awakens with the sudden onset of anaphylactic signs and symptoms. [336][337][338][339] …”

Section: Reduviid Bugsmentioning

confidence: 99%

Arthropods in dermatology

Steen

Carbonaro

Schwartz

2004

Journal of the American Academy of Dermatology

171

127

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“…Initial bites produce little reaction, with repeated exposure reactions ranging from pruritic papules with central punctum to haemorrhagic nodules and bullae may occur. [65] Patients have multiple clustered bites, especially on face, hence the name kissing bugs. [66] After additional bites, reaction may "accelerate" with local to diffuse urticaria and even erythema multiforme.…”

Section: Papular Pruritic Eruption Of Hiv/aidsmentioning

confidence: 99%

Insect bite reactions

Singh¹,

Mann²

2013

Indian J Dermatol Venereol Leprol

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Insects are a class of living creatures within the arthropods. Insect bite reactions are commonly seen in clinical practice. The present review touches upon the medically important insects and their places in the classification, the sparse literature on the epidemiology of insect bites in India, and different variables influencing the susceptibility of an individual to insect bites. Clinical features of mosquito bites, hypersensitivity to mosquito bites Epstein-Barr virus NK (HMB-EBV-NK) disease, eruptive pseudoangiomatosis, Skeeter syndrome, papular pruritic eruption of HIV/AIDS, and clinical features produced by bed bugs, Mexican chicken bugs, assassin bugs, kissing bugs, fleas, black flies, Blandford flies, louse flies, tsetse flies, midges, and thrips are discussed. Brief account is presented of the immunogenic components of mosquito and bed bug saliva. Papular urticaria is discussed including its epidemiology, the 5 stages of skin reaction, the SCRATCH principle as an aid in diagnosis, and the recent evidence supporting participation of types I, III, and IV hypersensitivity reactions in its causation is summarized. Recent developments in the treatment of pediculosis capitis including spinosad 0.9% suspension, benzyl alcohol 5% lotion, dimethicone 4% lotion, isopropyl myristate 50% rinse, and other suffocants are discussed within the context of evidence derived from randomized controlled trials and key findings of a recent systematic review. We also touch upon a non-chemical treatment of head lice and the ineffectiveness of egg-loosening products. Knockdown resistance (kdr) as the genetic mechanism making the lice nerves insensitive to permethrin is discussed along with the surprising contrary clinical evidence from Europe about efficacy of permethrin in children with head lice carrying kdr-like gene. The review also presents a brief account of insects as vectors of diseases and ends with discussion of prevention of insect bites and some serious adverse effects of mosquito coil smoke.

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confidence: 99%

“…Typically, the initial lesion from a kissing bug bite is a papule with a central punctum that arises over 24 h and is composed of a nonspecific lymphocytic infiltrate [30]. After receipt of additional bites, the reaction may "accelerate"-that is, there may be local to diffuse urticaria and [30]. Allergic reactions are either localized at the site of the bite with a substantial welt that itches intensely or are systemic with anaphylaxis [20].…”

mentioning

confidence: 99%

“Kissing Bugs”: Potential Disease Vectors and Cause of Anaphylaxis

et al. 2010

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Physicians in the United States should familiarize themselves with "kissing bugs" endemic to their area of practice and appreciate the medical implications of their bites. Bite victims often seek advice from physicians about allergic reactions as well as the risk of contracting Chagas disease. Physicians are generally knowledgeable about the role of kissing bugs in the transmission of Trypanosoma cruzi in Latin America. However, they may be unaware of (1) severe allergic reactions to kissing bug salivary antigens, (2) the widespread occurrence of T. cruzi amongst vertebrate hosts of kissing bugs, and (3) the incidence of T. cruzi among kissing bugs (T. cruzi may infect >50% of sampled bugs). Despite the potential for Chagas disease transmission, the major concern regarding kissing bugs in the United States is anaphylactic reactions to their bites resulting in frequent emergency department visits, especially in areas of endemicity in the Southwest.

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"Kissing Bug" Bite

Cited by 33 publications

References 9 publications

Arthropods in dermatology

Arthropods in dermatology

Insect bite reactions

“Kissing Bugs”: Potential Disease Vectors and Cause of Anaphylaxis

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