Monroe Joe
Mr. Monroe is a Fellow of the American Academy of Physician Assistants; is Founder, Past President, and Current Fellow of the Society of Dermatology Physician Assistants; and practices general and surgical dermatology in Tulsa, Oklahoma.
J Clin Aesthet Dermatol. 2020 Jun;13(6 Suppl):S26-S29. Epub 2020 Jun 1.
At the beginning of the 21st century, the prevalence of Cimex species (bedbugs) infestation in human dwellings rose exponentially, particularly in the United States. Although there is no evidence that bedbugs transmit diseases to their hosts, they are difficult to eradicate, making them a source of psychological and physical distress and a socioeconomic burden to society. Here, the author describes the case of an eight-year-old boy who presented with widespread, multiple, itchy, red papules surrounded by round patches of erythematous, edematous skin, and was eventually diagnosed with cimicosis (bedbug infestation). Other family members living with the boy showed no clinical signs of bedbug infestation, and the bites on the boy were not in the typical three-row linear configuration associated with bedbug bites-which made this case compelling. Clinical diagnostic characteristics, symptom management, and suggestions on infestation eradication are provided. Biological and epidemiological characteristics of bedbug infestation are also described. Currently, evidence of simple, safe, and effective means of bedbug eradication is lacking.
21世纪初，臭虫在人类住所中的侵扰率呈指数级上升，尤其是在美国。尽管没有证据表明臭虫会将疾病传播给宿主，但它们很难根除，这使其成为心理和身体痛苦的根源，以及社会的社会经济负担。在此，作者描述了一名8岁男孩的病例，该男孩身上出现广泛、多发、瘙痒的红色丘疹，周围伴有圆形红斑、水肿皮肤斑块，最终被诊断为臭虫病（臭虫侵扰）。与该男孩同住的其他家庭成员没有臭虫侵扰的临床迹象，且该男孩身上的叮咬痕迹并非典型的与臭虫叮咬相关的三排线性形态，这使得该病例引人注目。文中提供了临床诊断特征、症状管理以及根除侵扰的建议。还描述了臭虫侵扰的生物学和流行病学特征。目前，缺乏简单、安全且有效的臭虫根除方法的证据。
