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Pediculus humanus corporis infestation
ICD-10 Codes
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Description
Pediculosis Corporis Infestation: A Description
Pediculosis corporis, also known as body lice infestation, is a parasitic condition caused by the human body louse (Pediculus humanus var. corporis). This type of lice infestation affects humans and their clothing, with the lice feeding on human blood.
Characteristics of Body Lice
- Size: Body lice are larger than head lice, ranging in size from 2-4 mm.
- Habitat: They spend most of their lives in clothing, particularly in areas where seams touch the skin.
- Feeding behavior: Body lice feed on human blood, causing itchy skin and a skin rash at the site of louse bites.
Symptoms of Pediculosis Corporis
- Itchy skin: Infestations often cause itchy skin and a skin rash at the site of louse bites.
- Skin condition: Body lice infestations can lead to a skin condition characterized by redness, itching, and small bumps.
Prevalence and Risk Factors
- Overcrowding: Pediculosis corporis is more common among people living in overcrowded dwellings with inadequate hygiene facilities.
- Poor hygiene: The risk of infestation increases with poor personal hygiene and lack of access to clean clothing.
Treatment and Prevention
While most people recover from body lice infestations without using medication, treatment may be necessary to prevent the spread of the infestation. This includes washing and drying clothing on high heat, vacuuming carpets and upholstery, and treating affected areas with insecticides or medicated shampoos.
Sources:
- [8], [12], [14]
Signs and Symptoms
Diagnostic Tests
Diagnosing Pediculosis Corporis Infestation
Pediculosis corporis, caused by the body louse (Pediculus humanus corporis), can be diagnosed through various methods. Here are some key points to consider:
- Visual Inspection: A definitive diagnosis of active infestation requires identification of a live louse and/or a viable nit. Seams of clothing should be examined for eggs (nits), nymphs, and adult lice if body louse infestation is suspected.
- Microscopic Examination: Examining suggestive particles under the microscope confirms the presence of lice or nits.
- Combing Hair: Head lice can be diagnosed by combing hair thoroughly with a fine-toothed louse comb (0.2 to 1 mm). This method helps in identifying live lice and nits on the scalp.
Key Points to Remember
- Finding nits alone indicates a historical infestation, whereas finding live lice confirms an active infestation.
- Body lice are typically diagnosed by looking at the skin and clothing for eggs and crawling lice.
- The insects are about the size of a grain of rice or a small ant.
References
- [3] A diagnosis of any type of pediculosis rests on the observation of eggs (nits), nymphs, or mature lice. Definitive diagnosis of active infestation requires identification of a live louse and/or a viable nit.
- [5] The diagnosis of infestation requires identification of a live louse and/or a viable nit, examining suggestive particles under the microscope confirms the presence of lice or nits.
- [11] The diagnosis of pediculosis is best made by finding a live nymph or adult louse on the scalp or in the hair of a person. Finding numerous nits within 6 mm of the scalp is highly suggestive of active infestation.
Note: These points are based on information from search results [3], [5], and [11].
Treatment
Treatment Options for Pediculosis Humanus Corporis Infestation
Pediculosis humanus corporis, also known as body lice infestation, is a common problem that can be treated with various medications. Here are some of the most effective treatment options:
- Permethrin 1% lotion or shampoo: This is considered the first-line pharmacologic treatment for pediculosis humanus corporis infestation [2]. Permethrin works by killing the lice and their eggs, and it is available over-the-counter (OTC) in many countries.
- Pyrethrin-based treatments: Pyrethrin is another common ingredient used to treat body lice infestations. It is often combined with piperonyl butoxide (PBO) to enhance its effectiveness [4].
- Malathion 0.5% lotion: Malathion is a prescription-strength medication that can be used to treat body lice infestations. It works by suffocating the lice and their eggs, and it is often applied for 8-12 hours before washing off [7].
- Spinosad 0.9% lotion: Spinosad is another prescription-st
Differential Diagnosis
Differential Diagnosis of Body Lice Infestation
Body lice (Pediculus humanus humanus) infestation, also known as pediculosis corporis, can be challenging to diagnose due to its similarity in symptoms with other skin conditions. The differential diagnosis of body lice infestation includes:
- Scabies: Caused by the mite Sarcoptes scabiei, scabies is a highly contagious and itchy skin condition that affects people of all ages.
- Contact dermatitis: A type of skin inflammation caused by direct contact with an allergen or irritant, such as soaps, detergents, or clothing dyes.
- Atopic dermatitis: Also known as eczema, atopic dermatitis is a chronic skin condition characterized by dryness, itching, and inflammation.
- Drug reaction: Certain medications can cause skin reactions, including rashes, blisters, or other forms of dermatitis.
- Viral exanthem: A viral infection that causes a rash or skin eruption.
According to [13], co-infection with head lice, pubic lice, scabies, and fleas may be found, especially in refugee populations. It is essential to consider these differential diagnoses when evaluating patients for body lice infestation.
Key Points:
- Body lice infestation can be challenging to diagnose due to its similarity in symptoms with other skin conditions.
- The differential diagnosis of body lice infestation includes scabies, contact dermatitis, atopic dermatitis, drug reaction, and viral exanthem.
- Co-infection with head lice, pubic lice, scabies, and fleas may be found, especially in refugee populations.
References:
[13] - The differential diagnosis of dermatologic findings in body lice infestation includes scabies, contact dermatitis, atopic dermatitis, drug reaction, and viral exanthem. Co-infection with head lice, pubic lice, scabies, and fleas may be found, especially in refugee populations.
Additional Differential Diagnoses
- Drug reaction
- atopic dermatitis
- scabies
- contact dermatitis
- viral exanthem
Additional Information
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