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Review

Bedbugs: Helping your patient through an infestation

Omer Ibrahim, MD, Usama Mohammad Syed, MBBS, BSc and Kenneth J. Tomecki, MD
Cleveland Clinic Journal of Medicine March 2017, 84 (3) 207-211; DOI: https://doi.org/10.3949/ccjm.84a.15024
Omer Ibrahim
Department of Dermatology, Cleveland Clinic
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  • For correspondence: [email protected]
Usama Mohammad Syed
Faculty of Medicine, Imperial College London, UK
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Kenneth J. Tomecki
Department of Dermatology, Cleveland Clinic
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  • FIGURE 1
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    FIGURE 1

    The adult Cimex lectularius is a red-brown, wingless, oval-shaped insect measuring about 4 to 5 mm in length.

    Source: US Centers for Disease Control and Prevention, http://phil.cdc.gov/.

  • FIGURE 2
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    FIGURE 2

    Bedbug bites begin as pink macules that progress to papules (as seen here), large plaques, or hives. Some papules and plaques may have a central crust or erosion suggesting a bite.

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    FIGURE 3

    The clustering of bedbug bites in groups of three in a linear pattern—the “breakfast, lunch, and dinner” sign—can help distinguish a bite from a diffuse urticarial response.

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    TABLE 1

    Common areas of bedbug infestation

    Mattress seams
    Box springs
    Headboards
    Bed linens, bedclothes
    Curtains
    Carpets
    Electrical outlets
    Wall and floor cracks
    Wallpaper
    Picture frames
    Luggage, suitcases
    Couches, other furniture
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Cleveland Clinic Journal of Medicine: 84 (3)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 3
1 Mar 2017
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Bedbugs: Helping your patient through an infestation
Omer Ibrahim, Usama Mohammad Syed, Kenneth J. Tomecki
Cleveland Clinic Journal of Medicine Mar 2017, 84 (3) 207-211; DOI: 10.3949/ccjm.84a.15024

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Bedbugs: Helping your patient through an infestation
Omer Ibrahim, Usama Mohammad Syed, Kenneth J. Tomecki
Cleveland Clinic Journal of Medicine Mar 2017, 84 (3) 207-211; DOI: 10.3949/ccjm.84a.15024
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  • Article
    • ABSTRACT
    • BEDBUGS: A BRIEF HISTORY
    • BIOLOGY
    • EPIDEMIOLOGY
    • CLINICAL FINDINGS
    • THE DIFFERENTIAL DIAGNOSIS IS BROAD
    • BEDBUGS AS DISEASE VECTORS
    • TREATMENT AND ERADICATION
    • REFERENCES
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