Abstract
Abstract Introduction: Bedbugs are obligate hematophagous parasites that are difficult to control and eradicate, which can cause a great psychological and economic impact. This paper presents three clinical cases secondary to a tropical bedbug infestation that were morphologically and genetically identified. Case presentation: A three-member family (mother aged 53 years and two daughters aged 25 and 22 years) living in Medellín (Colombia) requested a private teleconsultation due to generalized pruritus and psychological symptoms (feeling of isolation, anxiety, difficulty sleeping, and jumpiness). During the appointment, it was found that the patients presented subtle welts on the upper and lower extremities. Therefore, a visit to the family home was scheduled, finding 155 insects that were later identified as Cimex hemipterus. The patients were prescribed symptomatic treatment and informed about measures to control infestations. A pest control company made several visits to eliminate the bed bugs, but they were ineffective. Finally, the insects were eradicated after 3 months of meticulous daily cleaning with steam and heat. Conclusion: These cases confirm the presence of a tropical bedbug (C. hemipterus) in Colombia and illustrate the significant psychological burden that bedbug infestations can cause and the difficulty of controlling them, thus making this issue an important public health problem.
Published Version
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