Mosquito bite T14.0

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

Definition
This section has been translated automatically.

Sting through mosquitoes.

Clinical features
This section has been translated automatically.

At the puncture site (uncovered skin areas) a differently sized, very itchy wheal develops with a punctiform, often haemorrhagic puncture site: transformation into a still itchy, strongly reddened papule, possibly blistering. Allergic system reactions ( urticaria) are only to be expected in the case of a high degree of sensitization. In rare cases, excessive reactions with disturbances of the general findings (possibly fever) as well as severe erythema exsudativum multiforme-like or erythema nodosum-like local reactions may occur. In these cases an EBV infection with NK-cell lymphocytosis must be clarified.

Diagnosis
This section has been translated automatically.

Clinic, in particular sensitization RAST and prick test for mosquitoes.

Complication(s)
This section has been translated automatically.

Secondary infections.

External therapy
This section has been translated automatically.

  • If symptoms are less severe, application of a topical antihistamine (e.g. fenistil gel, soventol gel) or a 1% menthol solution or a 1% hydrocortisone lotio (e.g. hydrogalene lotio/Lsg.)
  • In the case of pronounced symptoms, short-term application of a strongly effective glucocorticoid, e.g. mometasone furoate (Ecural), and cooling moist compresses (e.g. Tannolact).

Internal therapy
This section has been translated automatically.

In the case of a large number of stitches, internal antihistamines such as desloratadine (e.g. Aerius) 1 tbl/day or levocetirizine (e.g. Xusal) 1 tbl/day.

Prophylaxis
This section has been translated automatically.

Rubbing with repellents (e.g. Autan).

Literature
This section has been translated automatically.

  1. Asada H et al (2003) CD4+ T-lymphocyte-induced Epstein-Barr virus reactivation in a patient with severe hypersensitivity to mosquito bites and Epstein-Barr virus-infected NK cell lymphocytosis. Arch Dermatol 139: 1601-1607

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020