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Bed Bugs
Published in Jerome Goddard, Public Health Entomology, 2022
Protection at a hotel Travelers should keep in mind that not every hotel room has bed bugs, but some do. Interestingly, bed bugs are just as prone to be found in both low budget and 5-star hotels, so it helps to always be on guard when traveling. Simple precautions may help protect you and your belongings from bed bug infestation. Leave all unnecessary items in your vehicle, such as extra clothing, gear, and equipment. When first entering your hotel room, place luggage on the bathroom vanity until you have had a chance to inspect the premises (do not place luggage on bed, floor, chair, sofa, or luggage rack). Pull back sheets and check mattress and box springs for live bed bugs or black fecal spots. If possible, remove the headboard from the wall and inspect behind it. NOTE: some hotels now are avoiding use of headboards, supposedly to discourage bed bug infestation (Figure 16.5). If any bugs or suspicious signs of infestation are noted in the room, go back to the reception area and request another room.
Delusions of Parasitosis (Imaginary Insect or Mite Infestations)
Published in Gail Miriam Moraru, Jerome Goddard, The Goddard Guide to Arthropods of Medical Importance, Seventh Edition, 2019
Gail Miriam Moraru, Jerome Goddard
Bed bugs also could be the cause of mysterious bites, and their incidence is currently on the rise in the United States. Contrary to popular opinion, they are not only found where unsanitary conditions exist, but may also occur in affluent homes, hotels, and institutions. One sign of bed bug infestation is the presence of small specks of blood or dark feces on bedding. Upon examination of the premises, bed bugs can be found (they are plenty big enough to see) beneath loosened wallpaper, in the seams of bedding, or in cracks and crevices around the bed and furniture. Adults are about the size of an apple seed, while nymphs are much smaller but still visible with the naked eye.
Cutaneous side effects of hydroxychloroquine in health care workers in a COVID referral hospital – implications for clinical practice
Published in Journal of Dermatological Treatment, 2022
Kabir Sardana, Sinu Rose Mathachan, Desh Deepak, Ananta Khurana, Surabhi Sinha
All four HCWs (Table 1) had presented to the Dermatology outpatients department with pruritic rash following intake of prophylactic doses of HCQ. Our hospital is a COVID referral hospital that has doctors posted in various areas, including the COVID screening center, triage area, ward, and ICU. All HCWs posted in these areas are advised a prophylactic regimen of HCQ, wherein 400 mg twice a day is giving as a loading dose on day 1 followed by 400 mg weekly dose for 7 weeks. Out of six cases that presented, four were diagnosed as HCQ induced rash, and in three cases (Cases 1, 2, and 3) the skin rash appeared within 2–7 days of initiation of the therapy. Of the remaining two one had bed bug infestation and the second had a acneiform eruption unrelated to HCQ. On examination the lesions were diagnosed as urticaria (n = 3) maculopapular rash (n = 1) and palmoplantar itching (n = 2). There was no history of preceding intake of food, drugs including aspirin, physical causes, dental caries, sore throat, urinary tract infection, or gastrointestinal infection. Blood biochemical and hematological profile did not reveal any relevant abnormalities except raised AEC and eosinophilia in one case (case 1). The Naranjo score for causality assessment varied from 4 to 5 (probable). While all four HCWs were administered oral antihistamines, oral methylprednisolone (16 mg) was added for 1 week in the case who presented with maculopapular rash & severe pruritus (Case 1) which was not relieved on antihistamines. In two cases (Cases 1 and 3) who had palmoplantar pruritus, the symptom persisted even after 14 days use of antihistamines.