Ver el código de «Bed bugs»

==Background==
*''Cimex lenticularis'' 
*Bed bug bites are known as 'cimicosis'
*Bed bugs are attracted to CO2, warmth, exposed surfaces
*Tend to 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==
[[File:Bed bug, Cimex lectularius.jpg|thumb|Bed bug]]
[[File:Bedbug_with_classic_hemmoragic_appearance_and_punctate_center_2014-09-28_19-01.jpg|thumbnail|Bedbug with classic hemmoragic appearance and punctate center]]

*Up to 20% of patients do not experience symptoms<ref>Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.</ref>
*Pain immediately after bite
*Erythematous papules, bullae, and wheals may take days to develop
*Classic line of bites: "breakfast, lunch, and dinner"

==Differential Diagnosis==
{{Ectoparasite DDX}}
{{Hand Infection DDX}}

==Evaluation==
*Clinical diagnosis, based on history and physical exam.

==Management==
*Primarily supportive care
*[[Antihistamine]] for [[pruritus]]
*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, hot water washing of bedding

==Disposition==
*Discharge if no evidence of systemic symptoms or anaphylaxis

==See Also==
*[[Parasitic diseases]]
*[[Travel medicine]]

==External Links==

==References==
<references/>

[[Category:ID]]
[[Category:Dermatology]]