What is the prognosis of bedbug bites?

Updated: Apr 18, 2019
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

The prognosis for bedbug bites is excellent, although these bites can create considerable anxiety and localized and occasionally systemic reactions. Sometimes, if the bite reactions are intensely pruritic, scratching with excoriations may be complicated by impetigo.

In addition, bedbugs may be a vector for hepatitis B [14] and, in endemic areas, for American trypanosomiasis (Chagas disease). [15, 16] Of note, reports have indicated the risk of insect transmission of human immunodeficiency virus (HIV), if any, is extremely low and likely nonexistent. [17, 18]

Anaphylactoid reactions are well described. One such case occurred in a 41-year-old businessman in a first-class urban hotel in the United States.


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