{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:14:05Z","timestamp":1722471245687},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5,9]]},"abstract":"<jats:p>Rash in the returned traveler can provide a diagnostic dilemma for clinicians, but a detailed history including epidemiologic exposures can allow prompt diagnosis of etiologies uncommon in the United States. One such disease is Paederus dermatitis, an irritant contact dermatitis related to exposure to the rove beetle characterized by bullous lesions with surrounding erythema. Although cases and outbreaks have commonly been reported throughout the world, they are rarely reported in travelers returning to the United States. Here, we describe a patient who presented to an academic medical center in Virginia after travel to Sierra Leone with clinical presentation including exposure history and histopathology consistent with Paederus dermatitis. Our patient\u2019s clinic course is described in detail including treatment. Usual treatment includes antihistamines, topical steroids, and oral antibiotics, particularly with antimicrobials with activity against <jats:italic>Pseudomonas<\/jats:italic> sp. In addition, this case suggests a potential role for oral steroids in the treatment of this condition but further investigation is required. This case demonstrates the importance of considering a patient\u2019s travel and exposure history, as well as having familiarity with disease processes common in other parts of the world that are rarely seen in the United States.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0976","type":"journal-article","created":{"date-parts":[[2018,4,3]],"date-time":"2018-04-03T07:00:33Z","timestamp":1522738833000},"page":"1523-1525","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Paederus Dermatitis in the Returning Traveler"],"prefix":"10.4269","volume":"98","author":[{"given":"Jacob W.","family":"Pierce","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry","family":"Rittman","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jillian E.","family":"Raybould","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2002","author":"Mullen","key":"b1"},{"key":"b2","series-title":"Dermatol Online J","first-page":"9","article-title":"Paederus dermatitis in Sierra Leone","volume":"12","author":"Qadir","year":"2006"},{"key":"b3","series-title":"J Clin Aesthet Dermatol","first-page":"44","article-title":"Paederus dermatitis: an outbreak on a medical mission boat in the amazon","volume":"4","author":"Mammino","year":"2011"},{"key":"b4","series-title":"J Coast Life Med","first-page":"124","article-title":"Paederus dermatitis","volume":"2","author":"Yasri","year":"2014"},{"key":"b5","series-title":"Indian J Dermatol","first-page":"410","article-title":"Paederus dermatitis: an outbreak, increasing incidence or changing seasonal pattern?","volume":"58","author":"Coondoo","year":"2013"},{"key":"b6","series-title":"Mil Med","first-page":"209","article-title":"Staphylinid (rove) beetle dermatitis outbreak in the American southwest?","volume":"164","author":"Claborn","year":"1999"},{"key":"b7","series-title":"Trop Biomed","first-page":"418","article-title":"Treatment outcome of Paederus dermatitis due to rove beetles (Coleoptera: Staphylinidae) on guinea pigs","volume":"28","author":"Fakoorziba","year":"2011"},{"key":"b8","series-title":"Am J Trop Med Hyg","first-page":"483","article-title":"Clinical and epidemiological features of Paederus dermatitis among nut farm workers in Turkey","volume":"96","author":"Uzunoglu","year":"2017"},{"key":"b9","series-title":"Cureus","first-page":"e1158","article-title":"Dermatitis due to paederus colombinus: report of an epidemic outbreak of 68 cases in the province of Darien, Panama","volume":"9","author":"C\u00e1ceres","year":"2017"},{"year":"2005","author":"Van Schayk","key":"b10"},{"key":"b11","series-title":"J Am Acad Dermatol","first-page":"815","article-title":"Oedemerid blister beetle dermatosis: a review","volume":"22","author":"Nicholls","year":"1990"},{"key":"b12","series-title":"Am J Dermatopathol","first-page":"467","article-title":"Paederus fuscipes dermatitis: a histopathological study","volume":"13","author":"Borroni","year":"1991"},{"key":"b13","series-title":"Eye (Lond)","first-page":"883","article-title":"Blister beetle periorbital dermatitis and keratoconjunctivitis in Tanzania","volume":"12","author":"Poole","year":"1998"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/98\/5\/article-p1523.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/98\/5\/article-p1523.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/98\/5\/article-p1523.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T12:18:43Z","timestamp":1722428323000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/98\/5\/article-p1523.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,9]]},"references-count":13,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.17-0976","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2018,5,9]]}}}