Beware of the Beetle: A Case Report of Severe Vesicating Dermatitis

Gibbs, Lawrence M.

doi:10.7205/milmed-d-15-00350

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…Paederus belongs to the Staphyllinadae family, Paederinae subfamily, and is widely distributed throughout the world, except in Antarctica [5]. …”

Section: Introductionmentioning

confidence: 99%

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Dermatitis Due to Paederus Colombinus: Report of an Epidemic Outbreak of 68 Cases in the Province of Darien, Panama

Cáceres¹,

Suárez²,

Jackman³

et al. 2017

Cureus

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IntroductionContact dermatitis due to Paederus is a particular form of accident by animal contact. It is characterized by the sudden onset of erythematous and vesicular lesions with burning sensation on exposed areas of the body. The aim of this study was to describe the epidemiological and clinical findings of an outbreak of Paederus dermatitis in Panama.MethodsClinical and epidemiological findings of an outbreak of contact dermatitis caused by Paederus sp. in the province of Darien in eastern Panama is reported. After reviewing the clinical records, a clinical-epidemiological questionnaire was developed and used in 20 communities where reported cases were found. We captured and collected the specimens for species characterization for three consecutive days using three different methods of capture.ResultsDuring May-July, 2014, 68 cases of Paederus irritant contact dermatitis occurred in 20 communities of the Darien. Fifty-three percent were females. The age group of zero to five years had the highest number of cases, 15 (22%). The most common clinical presentation was the classical linear dermatitis (58%); 42% of the subjects had mirror image lesions, multiple vesicular-pustular lesions, and crust lesions. Symptoms were most commonly reported as a burning sensation (65%), followed by pruritus in 60%, pain (25%), and fever (nine percent). A total of 81 specimens of Paederus were collected, 68% in peridomiciliary areas.ConclusionsThis Paederus sp. dermatitis report represents one of the largest outbreak described in Latin America and the diagnosis could be confused with others skin diseases like pyodermitis or other contact dermatitis.

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“…Paederus belongs to the Staphyllinadae family, Paederinae subfamily, and is widely distributed throughout the world, except in Antarctica [5]. …”

Section: Introductionmentioning

confidence: 99%

“…The Paederus genus has approximately 622 species, 30 of which have been shown to cause lineal dermatitis or to contain the paederin toxic agent [ 3 - 5 ]. Paederus belongs to the Staphyllinadae family, Paederinae subfamily, and is widely distributed throughout the world, except in Antarctica [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Dermatitis Due to Paederus Colombinus: Report of an Epidemic Outbreak of 68 Cases in the Province of Darien, Panama

Cáceres¹,

Suárez²,

Jackman³

et al. 2017

Cureus

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“…Given the widespread occurrence of P. aeruginosa in soil and water, it is possible for its symbiosis with Paederus beetles as they are found normally in moist environmental conditions such as the rice field areas (Bong et al, 2015). Hence, P. aeruginosa might indeed be the postulated producer of paederin biosynthesis which was responsible for the numerous dermatitis outbreak cases documented worldwide (Gibbs, 2015;Uzunog ˘ lu et al, 2016;Cáceres et al, 2017). Moreover, it is also known that P. aeruginosa bacteria is the most common causal agent that contributes to the pathogenesis of burn wound infection (Lyczak et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…Although mosquitoes, tsetse flies, and sand flies are mainly recognized as the vectors of tropical diseases associated with mortality, the rove beetle of the genus Paederus is also a threat to mankind, due to the toxic hemolymph paederin (Ghoneim, 2013). Paederin is an extremely potent vesicant polyketide cytotoxin that causes paederus dermatitis (also known as dermatitis linearis) skin lesion once unintentionally crushed against human skin (Piel, 2002;Gibbs, 2015). Severe dermatologic, ophthalmologic, and systemic symptoms are shown by a paederus dermatitis victim (Cressey et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

ISOLATION AND IDENTIFICATION OF THE BACTERIAL COMMUNITY ASSOCIATED WITH THE ROVE BEETLE, Paederus fuscipes CURTIS (COLEOPTERA: STAPHYLINIDAE) IN PENANG

Sufian

AL-ASHRAF

Zuharah

2020

MABJ

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The rove beetle, Paederus fuscipes Curtis has caused tremendous dermatitis once unintentionally crushed against human skin due to their potent toxic released called paederin produce by the endosymbiont bacteria. The genus Pseudomonas was hypothesized to be the endosymbiont bacteria involved in the production of paederin in Paederus. However, no extensive studies have been performed to investigate the existence of other bacteria, and the relationship between the endosymbiont counts amongst male and female P. fuscipes beetles. We found that P. fuscipes harbours surprising numbers of bacteria diversity with a total of 20 different bacterial species identified. Bacillus, Serratia, Staphylococcus, and Pseudomonas bacteria were the dominated genus found in all collected beetles from all light trap locations. However, only Pseudomonas aeruginosa Migula is the medically important species and is commonly known to cause severe dermatitis lesions to humans. Our results revealed the P. aeruginosa counts cultured on Pseudomonas medium was found higher total mean bacteria counts in fuscipes females (2.58 x 105 ± 2.73 x 104 cell) compared to male beetles (5.68 x 104 ± 3.70 x 103 cells). We demonstrated that a large diversity of bacterial community has been isolated from both male and female P. fuscipes, however P. aeruginosa colonies were frequently detected in females compared to male beetles. These results can be used in future studies to investigate the possible impact of these bacterial counts on the concentration of paederin produced in P. fuscipes.

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“…Paederus dermatitis (also known as spider lick and dermatitis linearis) is a rare, blistering irritating contact dermatitis characterised by erythematousbullous lesions that appear suddenly on exposed body parts [1]. An insect belonging to the genus Paederus is responsible for the sickness.…”

Section: Introductionmentioning

confidence: 99%

Test

Injeti¹

2021

Int. J. Clin. Pharm. Med. Sci.

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Beware of the Beetle: A Case Report of Severe Vesicating Dermatitis

Abstract: Paederus beetle exposure in the deployed setting can impact force health. Increased awareness among providers and personnel should mitigate potential exposure and limit the morbidity associated with this beetle.

Cited by 8 publications

References 5 publications

Dermatitis Due to Paederus Colombinus: Report of an Epidemic Outbreak of 68 Cases in the Province of Darien, Panama

Dermatitis Due to Paederus Colombinus: Report of an Epidemic Outbreak of 68 Cases in the Province of Darien, Panama

ISOLATION AND IDENTIFICATION OF THE BACTERIAL COMMUNITY ASSOCIATED WITH THE ROVE BEETLE, Paederus fuscipes CURTIS (COLEOPTERA: STAPHYLINIDAE) IN PENANG

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