Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
The medical aspects of the question have been studied especially by
Schamberg and Goldberger and from the latter's summary (1910) we derive
the following data. Within twelve to sixteen hours after exposure,
itching appears and in severe cases, especially where exposure is
continued night after night by sleeping on an infested bed, the itching
may become almost intolerable. Simultaneously, there appears an eruption
which characteristically consists of wheals surrounded by a vesicle
(fig. 55). The vesicle as a rule does not exceed a pin head in size but
may become as large as a pea. Its contents rapidly become turbid and in
a few hours it is converted into a pustule. The eruption is most
abundant on the trunk, slight on the face and extremities and almost
absent on the feet and hands. In severe cases there may be
constitutional disturbances marked, at the outset, by chilliness,
nausea, and vomiting, followed for a few days by a slight elevation of
temperature, with the appearance of albumin in the urine. In some cases
the eruption may simulate that of chicken-pox or small-pox.
Treatment for the purpose of killing the mites is hardly necessary as
they attach feebly to the surface and are readily brushed off by
friction of the clothes. "Antipruritic treatment is always called for;
warm, mildly alkaline baths or some soothing ointment, such as zinc
oxide will be found to fulfil this indication." Of course, reinfestation
must be guarded against, by discarding, or thoroughly fumigating
infested mattresses, or by avoiding other sources. Goldberger suggests
that farm laborers who must work with infested wheat or straw might
protect themselves by anointing the body freely with some bland oil or
grease, followed by a change of clothes and bath as soon as their work
is done. We are not aware of any experiments to determine the effect of
flowers of sulphur, but their efficiency in the case of "red bugs"
suggests that they are worth a trial against _Pediculoides_.
Public-domain text, read in full here on John Shaqi.
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