Emergency Medicine Book

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Insect BiteAka: Stinging Insect, Arthropod Bite

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  1. See also
    1. Allergic Reaction
    2. Stinging Insect Allergy
    3. Bee sting
    4. Mosquito Bite
    5. Scorpion
    6. Brown Recluse Spider
    7. Black Widow Spider
  2. Complications
    1. Anaphylaxis or other serious Allergic Reaction
    2. Papular Urticaria
    3. Vector Borne Disease
    4. Cellulitis
      1. Inflammation out of proportion to insect bite
      2. Regional Lymphadenopathy
      3. Ascending lymphangitis
  3. Management: Acute Allergic Reaction
    1. See Anaphylaxis
  4. Management: Suspected Cellulitis
    1. Antibiotic
      1. Erythromycin
      2. Doxycycline
      3. Penicillin
      4. Cephalosporin (1st generation)
    2. Tetanus prophylaxis
      1. Update Tetanus Vaccine (Td)
      2. Tetanus Immune Globulin (BayTet)
  5. Prevention
    1. See Prevention of Vector-borne Infection
    2. Check clothes for insects before donning
    3. Avoid habitats
      1. Woodpiles
      2. Crawl spaces
      3. Corners of buildings
    4. Dress for working outdoors
      1. Keep skin covered by clothing
        1. Wear gloves
        2. Shirt tucked into pants
        3. Pants tucked into socks
        4. Wear a hat and high collar
        5. Avoid loose clothing
      2. Avoid insect attractants
        1. Bright colors
        2. Perfumes
    5. Insect Repellants
      1. DEET
        1. Mosquitoes
        2. Fleas
        3. Gnats
        4. Chiggers
      2. Permethrin (Elimite, Nix) on clothes
        1. Ticks
  6. References
    1. Kemp (1998) Postgrad Med 103(6):88
    2. Norris (1998) Physician and Sports Med 26(7):47-58

Insect Bites (C0021564)

ConceptsInjury or Poisoning (T037)
ICD9E906.4
BasqueINTSEKTU HELDUA
DanishInsektstik
DutchBeet/steek insekt
EnglishINSECT BITE, Insect Bites
FinnishHYONTEISEN PUREMA
FrenchPiqure d'insecte
GermanInsektenstich
Hebrewakitzat xarak
Hungarianrovarcsipes
ItalianPuntura d'insetto
NorwegianINSEKTSTIKK
PortuguesePicada de insecto
Spanishmordedura de insecto, picadura de insecto
SwedishINSEKTBETT
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Arthropod bite (C0853348)

ConceptsInjury or Poisoning (T037)
EnglishArthropod bite
Spanishmordedura de artrópodo, mordedura de artropodo
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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