Infestations, however, can cause secondary infections and allergic reactions and can contribute to poor self-esteem, difficulty sleeping, anxiety, depression, and financial hardship.
You should suspect bed bugs in any patient with nocturnally acquired bites or rashes. Bite reactions occur on exposed body sites such as face, neck and extremities – most often the arms and shoulders. The rash may or may not be pruritic.
Patients may report seeing small flat bugs, typically at night. They may also report signs of an infestation – small reddish brown stains or black spots on sheets or mattresses and/or cast skins of bed bugs.
Bite reactions occur on exposed body sites such as face, neck and extremities – most often the arms and shoulders.
Other clues to bed bugs as the cause may be staying in a place of high resident turnover (hotel, hostel, shelter, rooming house, etc.) or use of second-hand furniture/mattresses. You should determine if the patient has certain fears about other diseases or beliefs about cleanliness around bedbugs as well as any impact this may be having on their emotional and social well being.