Scarabiasis
| Scarabiasis | |
|---|---|
| Synonyms | Canthariasis, scarab beetle infestation |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, diarrhea, vomiting, pruritus |
| Complications | Intestinal obstruction, perforation |
| Onset | After ingestion of beetle larvae |
| Duration | Variable, depending on treatment |
| Types | N/A |
| Causes | Ingestion of scarab beetles or their larvae |
| Risks | Consumption of contaminated food or water |
| Diagnosis | Identification of beetles or larvae in stool sample |
| Differential diagnosis | Helminthiasis, gastroenteritis |
| Prevention | Proper food handling, avoiding consumption of contaminated food |
| Treatment | Removal of beetles, symptomatic treatment |
| Medication | Antiparasitic drugs |
| Prognosis | N/A |
| Frequency | Rare |
| Deaths | N/A |
Scarabiasis is a rare medical condition caused by the infestation of the human body by scarab beetles. This condition is a type of myiasis, which is the infestation of the body by the larvae of flies or beetles. Scarabiasis is primarily reported in tropical and subtropical regions where scarab beetles are prevalent.
Etiology
Scarabiasis occurs when adult scarab beetles or their larvae enter the human body. This can happen through various means, such as accidental ingestion or through open wounds. The beetles are attracted to the body by odors or moisture, and once inside, they can cause significant discomfort and medical complications.
Pathophysiology
The pathophysiology of scarabiasis involves the mechanical irritation and potential tissue damage caused by the beetles or their larvae. The beetles may burrow into the skin or mucous membranes, leading to inflammation, pain, and secondary infections. In some cases, the beetles may enter the gastrointestinal tract, causing symptoms such as abdominal pain, nausea, and vomiting.
Clinical Presentation
Patients with scarabiasis may present with a variety of symptoms depending on the site of infestation. Common symptoms include:
- Intense itching and irritation at the site of entry.
- Visible movement under the skin or in body cavities.
- Pain and swelling in the affected area.
- Gastrointestinal symptoms if the beetles are ingested.
Diagnosis
Diagnosis of scarabiasis is primarily clinical, based on the patient's history and physical examination. The presence of beetles or larvae in the affected area is a key diagnostic feature. In some cases, imaging studies or endoscopy may be required to identify the location and extent of the infestation.
Treatment
The treatment of scarabiasis involves the removal of the beetles or larvae from the body. This can be achieved through manual extraction, surgical intervention, or the use of topical or systemic insecticides. In addition, symptomatic treatment for pain and inflammation may be necessary. Antibiotics may be prescribed to prevent or treat secondary bacterial infections.
Prevention
Preventive measures for scarabiasis include:
- Avoiding exposure to environments where scarab beetles are prevalent.
- Maintaining good personal hygiene to reduce the attraction of beetles.
- Protecting open wounds and using insect repellents in endemic areas.
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Contributors: Prab R. Tumpati, MD