Akhoundi Mohammad, Sereno Denis, Marteau Anthony, Bruel Christiane, Izri Arezki
Parasitology-Mycology Department, Avicenne Hospital, AP-HP, 93000 Bobigny, France.
MIVEGEC, IRD, Montpellier University, 34032 Montpellier, France.
Diagnostics (Basel). 2020 May 15;10(5):308. doi: 10.3390/diagnostics10050308.
Arthropod blood feeders are vectors of several human pathogenic agents, including viruses (e.g., yellow fever, chikungunya, dengue fever), parasites (e.g., malaria, leishmaniasis, lymphatic filariasis), or bacteria (e.g., plague). Besides their role as a vector of pathogens, their biting activities cause a nuisance to humans. Herein, we document clinical symptoms associated with the biting of ten clusters of hematophagous arthropods, including mosquitoes, biting midges and sandflies, lice, ticks, tsetse flies, blackflies, horse flies, fleas, triatomine and bed bugs. Within the framework of clinical history and entomo-epidemiological information, we propose a tentative discriminative key that can be helpful for practicing physicians in identifying hematophagous arthropods biting humans and delivering treatment for the associated clinical disorders.
节肢动物吸血者是多种人类病原体的传播媒介，包括病毒（如黄热病、基孔肯雅热、登革热）、寄生虫（如疟疾、利什曼病、淋巴丝虫病）或细菌（如鼠疫）。除了作为病原体的传播媒介外，它们的叮咬活动也给人类带来困扰。在此，我们记录了与十类吸血节肢动物叮咬相关的临床症状，这些节肢动物包括蚊子、蠓、白蛉、虱子、蜱、采采蝇、蚋、厩螫蝇、跳蚤、锥蝽和臭虫。在临床病史和昆虫流行病学信息的框架内，我们提出了一个初步的鉴别要点，这可能有助于执业医生识别叮咬人类的吸血节肢动物，并为相关临床疾病提供治疗。
