Bed bugs: Difference between revisions
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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"
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