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Case Report
Bullous arthropod bite reaction
1 Post-intern, B.J. Medical College, Ahmedabad, Gujarat, India
2 Medical student, G.M.E.R.S. Sola Medical College, Ahmedabad, Gujarat, India
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Bhargav B Koyani
Kalyan Park, Rajkot, Gujarat,
India
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Article ID: 101352Z01BK2022
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How to cite this article
Koyani BB, Pathak RD, Thacker DH. Bullous arthropod bite reaction. Int J Case Rep Images 2022;13(2):164–167.ABSTRACT
A case of bullous arthropod bite reaction occurs following the bite of an arthropod, resulting in edema and eruption of blisters on the affected area, as it is a challenging task to differentiate it from cellulitis, especially in the early course of the reaction. So, early diagnosis is required to prevent the unnecessary use of antibiotics and no delay in managing arthropod bite reaction. The natural history of the disease begins with marked edema with erythema at the bite and surrounding sites. It is followed by single/multiple bulla formation depending upon the number of bites. Then it ruptures, and a serous fluid is released, which is then followed by the formation of granulation tissue a week or two later. Appropriate wound care with soap and water is required to prevent superimposed bacterial infection. Differential diagnoses of cellulitis and necrotizing fasciitis can be excluded by lack of systemic signs and symptoms like fever, malaise, or weakness. Treatment generally involves symptomatic relief of pain and pruritus, including nonsteroidal anti-inflammatory drugs (NSAIDs) and antihistaminic.
Keywords: Antibiotic use, Arthropod bite, Bullous reaction, Cellulitis, Necrotizing fasciitis
SUPPORTING INFORMATION
Acknowledgments
The authors would sincerely like to address their gratitude to Dr. Himanshu B Koyani [M.ch (Surgical Oncology), M.S., M.B.B.S.] and Dr. Nirav Satasia [M.S., M.B.B.S.] for the mentorship on this case report and guiding us throughout this project.
Author ContributionsBhargav B Koyani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajvi D Pathak - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dhrumi H Thacker - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Bhargav B Koyani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
