Knowledge (XXG)

Swimmer's itch

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increased risk of infection in Europe and North America, and shallow inshore waters may harbour higher densities of cercariae than open waters offshore. Onshore winds are thought to cause cercariae to accumulate along shorelines. Studies of infested lakes and outbreaks in Europe and North America have found cases where infection risk appears to be evenly distributed around the margins of water bodies as well as instances where risk increases in endemic swimmer's itch "hotspots". Children may become infected more frequently and more intensely than adults but this probably reflects their tendency to swim for longer periods inshore, where cercariae also concentrate.
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Humans usually become infected after swimming in slow-moving rivers, lakes or ponds. Some laboratory evidence indicates snails shed cercariae most intensely in the morning and on sunny days, and exposure to water in these conditions may therefore increase risk. Duration of swimming is correlated with
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in about half an hour. Within 10–12 hours these turn into very itchy papules that reach their worst by the second or third day. The papules disappear in 1–2 weeks but secondary effects from scratching can continue longer. The intense itching, which peaks after 48–72 hours, is associated with pain and
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causing swimmer's itch) to swim to the surface of the water; and use various physical and chemical cues in order to locate the next and final (definitive) host in the life cycle, a bird. These larvae can accidentally come into contact with the skin of a swimmer. The cercaria penetrates the skin and
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Leighton BJ, Zervos S, Webster JM (2000). "Ecological factors in schistosome transmission, and an environmentally benign method for controlling snails in a recreational lake with a record of schistosome dermatitis".
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prevented schistosomes from penetrating the skin of mice. Public education of risk factors, a good alternative to the aforementioned interventionist strategies, can also reduce human exposure to cercariae.
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Macháček T, Turjanicová L, Bulantová J, Hrdý J, Horák P, Mikeš L (2018-10-09). "Cercarial dermatitis: a systematic follow-up study of human cases with implications for diagnostics".
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After locating a bird, the parasite penetrates through the skin (usually the feet), dropping the forked tail in the process. Inside the circulatory system, the immature worms (
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as a molluscicide to reduce snail host populations and thereby the incidence of swimmer's itch. The results with this agent have been inconclusive, possibly because:
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spots on the skin. Within hours, these spots become raised papules which are intensely itchy. Each papule corresponds to the penetration site of a single parasite.
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of this condition may be increasing, although this may be attributed to better monitoring and reporting. Nevertheless, the condition is considered to be an
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Lindblade KA (1998). "The epidemiology of cercarial dermatitis and its association with limnological characteristics of a northern Michigan lake".
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Another method targeting the snail host, mechanical disturbance of snail habitat, has been also tried in some areas of North America and
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of schistosomes have been used by lakeside residents in recreational areas of North America to deal with outbreaks of swimmer's itch. In
803:"Public health importance and risk factors for cercarial dermatitis associated with swimming in Lake Leman at Geneva, Switzerland" 310:) develop into mature male and female worms, mate and migrate through the host's circulatory system (or nervous system in case of 260:
to follow chemical and physical cues thought to increase its chances of finding the first intermediate host in its life cycle, a
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Bonamonte D, Romita P, Vestita M, Angelini G (2016). "Dermatitis Caused by Aquatic Worms". In Bonamonte D, Angelini G (eds.).
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Verbrugge LM, Rainey JJ, Reimink RL, Blankespoor HD (2004). "Prospective study of swimmer's itch incidence and severity".
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Swimmer's itch was known to exist as early as the 19th century, but it was not until 1928 that a biologist found that the
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swelling of the affected areas. People repeatedly exposed to cercariae develop heavier symptoms with faster onset.
2292: 2232: 2155: 2126: 154:, is sometimes prescribed to treat swimmer's itch and similar dermal allergic reactions. In addition, bathing in 1013: 2297: 2238: 1333: 1277: 120: 406:
More importantly, perhaps, copper sulfate is toxic to more than just molluscs, and the effects of its use on
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Blankespoor HD, Reimink RL (1991). "The control of swimmer's itch in Michigan: Past, present, and future".
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and larvae hatch from the eggs directly in the tissue during drinking/feeding of the infected birds.
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in France, with promising results. Some work in Michigan suggests that administering
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dies in the skin immediately. The cercariae cannot infect humans, but they cause an
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Horák P, Mikeš L, Lichtenbergová L, Skála V, Soldánová M, Brant SV (January 2015).
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There are no permanent effects to people from this condition. Orally administered
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n. sp. (Schistosomatidae, Bilharziellinae), a new nasal schistosome from Europe"
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showed that water-resistant topical applications of the common insect repellent
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to hatchling waterfowl can reduce local swimmer's itch rates in humans. Work on
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environments, especially along the coasts, swimmer's itch can occur as well.
1739: 1582: 1235: 1230: 459: 439: 116: 60: 1068: 1021: 955: 920: 736: 718: 605: 526: 879: 836: 784: 119:. It is common in freshwater, brackish and marine habitats worldwide. The 2166: 2047: 1939: 1888: 1703: 1217: 500: 382: 276: 182: 179: 134:(raised skin) that commonly occur within 2 days of infection. Initially, 355: 1777: 1519: 871: 371: 155: 131: 66:
on lower legs, four days after spending a day in the shallows of a lake
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Itchy skin lesions due to infection by water-borne parasitic flatworms
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Salafsky B, Ramaswamy K, He YX, Li J, Shibuya T (November 1999).
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10.1645/0022-3395(2001)087[0424:EOPITN]2.0.CO;2
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most commonly associated with swimmer's itch in humans are
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Brant S, Cohen A, James D, Hui L, Hom A, Loker E (2010).
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Local water chemistry reduces the molluscicide's efficacy
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immune reaction. This reaction causes initially mildly
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Parasitic infestations, stings, and bites of the skin
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Cercariae use a tail-like appendage (often forked in
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Blankespoor CL, Reimink RL, Blankespoor, HD (2001).
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Adjacent snail populations repopulate a treated area
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(1998). 726: 516: 451: 217:reported to cause the reaction include 248:Once a schistosome egg is immersed in 166:can also provide relief of symptoms. 7: 571: 569: 1091:"Swimmer's Itch Reported at Lakes" 322:, instead infects the bird host's 25: 370:Various strategies targeting the 460:"Avian Schistosome Biodiversity" 385:, for decades, authorities used 359:Mechanical removal of snails in 138:develop quickly, then turn into 18:Schistosome cercarial dermatitis 1: 913:10.1016/S1383-5769(99)00034-3 489:Clinical Microbiology Reviews 342:Image of infectious cercariae 256:emerges. The miracidium uses 1656:Diphyllobothrium mansonoides 707:Emerging Infectious Diseases 677:"Swimmer's Itch in Michigan" 1993:Angiostrongylus cantonensis 1642:Spirometra erinaceieuropaei 776:10.1051/parasite/1998054349 550:10.1007/978-3-319-40615-2_9 301:Life-cycle of swimmers itch 209:, which infects snails and 125:emerging infectious disease 105:allergic contact dermatitis 2314: 271:, which in turn undergoes 130:The main symptom is itchy 2233:Capillaria philippinensis 2156:Halicephalobus gingivalis 2127:Strongyloides stercoralis 1095:Bureau of Land Management 1061:10.4269/ajtmh.1999.61.743 819:10.1017/S0950268898008826 682:. State of Michigan. 2014 590:10.1007/s00436-018-6095-0 544:. Springer. p. 142. 410:are not well understood. 399:Local currents diffuse it 232:These parasites use both 207:Schistosomatium douthitti 59: 50: 2239:Intestinal capillariasis 1334:Dicrocoelium dendriticum 2226:Trichuriasis / Whipworm 2176:Enterobius vermicularis 1971:Cutaneous larva migrans 1544:Echinococcus granulosus 1484:Heterophyes heterophyes 1470:Gastrodiscoides hominis 1293:Trichobilharzia regenti 1002:Journal of Parasitology 754:Trichobilharzia regenti 319:Trichobilharzia regenti 2074:Visceral larva migrans 1869:Gnathostoma spinigerum 1722:Dracunculus medinensis 1628:Diphyllobothrium latum 1407:Paragonimus westermani 1374:Opisthorchis viverrini 719:10.3201/eid1609.091664 393:Snails become tolerant 367: 343: 302: 101:schistosome dermatitis 46:Schistosome dermatitis 1955:Ancylostoma duodenale 1498:Metagonimus yokogawai 1049:Am. J. Trop. Med. Hyg 578:Parasitology Research 358: 341: 300: 242:parasitic life cycles 219:Bilharziella polonica 2207:Trichinella spiralis 2034:Ascaris lumbricoides 1848:Lymphatic filariasis 1830:Wuchereria bancrofti 979:Michigan Academician 652:"Swimmers Itch FAQS" 501:10.1128/CMR.00043-14 464:www.schistosomes.net 273:asexual reproduction 97:cercarial dermatitis 2221:Trichuris trichiura 2148:Trichostrongyliasis 1764:Onchocerca volvulus 1320:Clonorchis sinensis 1255:Schistosoma mansoni 1236:Trematode infection 542:Aquatic Dermatology 77:Infectious diseases 2107:Parascaris equorum 2093:Dioctophyme renale 1999:Angiostrongyliasis 1979:Necator americanus 1949:Hookworm infection 1809:Dirofilaria repens 1634:Diphyllobothriasis 1525:Tapeworm infection 1456:Fasciolopsis buski 408:aquatic ecosystems 368: 344: 303: 240:as hosts in their 2260: 2259: 2256: 2255: 2192: 2191: 1929: 1928: 1925: 1924: 1676: 1675: 1672: 1671: 1550:E. multilocularis 1514: 1513: 1354:Fasciola hepatica 1206:Parasitic disease 1172: 1171: 807:Epidemiol. Infect 584:(12): 3881–3895. 559:978-3-319-40615-2 234:freshwater snails 223:Schistosoma bovis 107:occurring in the 90: 89: 32:Medical condition 16:(Redirected from 2305: 2293:Swimming culture 2141:Trichostrongylus 2133:Strongyloidiasis 2013:Metastrongylosis 1745: 1709: 1700: 1691: 1595:Hymenolepis nana 1531: 1431:Intestinal fluke 1242: 1227: 1199: 1192: 1185: 1176: 1111: 1099: 1098: 1087: 1081: 1080: 1040: 1034: 1033: 993: 987: 986: 974: 968: 967: 931: 925: 924: 895: 884: 883: 847: 841: 840: 830: 798: 789: 788: 778: 760: 747: 741: 740: 730: 698: 692: 691: 689: 687: 681: 673: 667: 666: 664: 662: 648: 642: 641: 639: 638: 624: 618: 617: 573: 564: 563: 537: 531: 530: 520: 480: 474: 473: 471: 470: 456: 262:freshwater snail 202:Gigantobilharzia 187:Schistosomatidae 103:is a short-term 86: 85: 55: 35: 21: 2313: 2312: 2308: 2307: 2306: 2304: 2303: 2302: 2298:Sports injuries 2263: 2262: 2261: 2252: 2188: 2161: 2112: 2019: 1967:Ancylostomiasis 1937: 1921: 1901: 1881:Gnathostomiasis 1854: 1751: 1734: 1685: 1682: 1668: 1619:Pseudophyllidea 1613: 1564:Taenia saginata 1522: 1510: 1462:Fasciolopsiasis 1447:Echinostomiasis 1425: 1392: 1386:Opisthorchiasis 1305: 1285:Schistosomiasis 1279:S. intercalatum 1233: 1231:Fluke/trematode 1222: 1219: 1212: 1203: 1173: 1168: 1167: 1122: 1108: 1103: 1102: 1089: 1088: 1084: 1042: 1041: 1037: 995: 994: 990: 976: 975: 971: 948:10.1645/GE-237R 933: 932: 928: 897: 896: 887: 864:10.2307/3284521 849: 848: 844: 800: 799: 792: 758: 749: 748: 744: 700: 699: 695: 685: 683: 679: 675: 674: 670: 660: 658: 650: 649: 645: 636: 634: 626: 625: 621: 575: 574: 567: 560: 539: 538: 534: 482: 481: 477: 468: 466: 458: 457: 453: 448: 436: 423:schistosomiasis 353: 336: 196:Trichobilharzia 172: 80: 33: 28: 23: 22: 15: 12: 11: 5: 2311: 2309: 2301: 2300: 2295: 2290: 2285: 2280: 2275: 2265: 2264: 2258: 2257: 2254: 2253: 2251: 2250: 2243: 2242: 2241: 2229: 2217: 2216: 2215: 2202: 2200: 2194: 2193: 2190: 2189: 2187: 2186: 2185: 2184: 2171: 2169: 2163: 2162: 2160: 2159: 2152: 2151: 2150: 2137: 2136: 2135: 2122: 2120: 2114: 2113: 2111: 2110: 2103: 2102: 2101: 2099:Dioctophymosis 2089: 2082: 2081: 2080: 2062:Toxocara canis 2058: 2057: 2056: 2044: 2043: 2042: 2029: 2027: 2021: 2020: 2018: 2017: 2016: 2015: 2007:Metastrongylus 2003: 2002: 2001: 1989: 1988: 1987: 1975: 1974: 1973: 1961:A. braziliense 1951: 1945: 1943: 1931: 1930: 1927: 1926: 1923: 1922: 1920: 1919: 1911: 1909: 1903: 1902: 1900: 1899: 1898: 1897: 1885: 1884: 1883: 1864: 1862: 1856: 1855: 1853: 1852: 1851: 1850: 1826: 1825: 1824: 1822:Dirofilariasis 1812: 1805: 1804: 1803: 1801:Mansonelliasis 1791: 1790: 1789: 1774: 1773: 1772: 1770:Onchocerciasis 1759: 1757: 1742: 1736: 1735: 1733: 1732: 1731: 1730: 1728:Dracunculiasis 1717: 1715: 1706: 1697: 1688: 1678: 1677: 1674: 1673: 1670: 1669: 1667: 1666: 1665: 1664: 1652: 1651: 1650: 1638: 1637: 1636: 1623: 1621: 1615: 1614: 1612: 1611: 1610: 1609: 1607:Hymenolepiasis 1591: 1590: 1589: 1560: 1559: 1558: 1556:Echinococcosis 1539: 1537: 1535:Cyclophyllidea 1528: 1516: 1515: 1512: 1511: 1509: 1508: 1507: 1506: 1504:Metagonimiasis 1494: 1493: 1492: 1490:Heterophyiasis 1480: 1479: 1478: 1476:Amphistomiasis 1466: 1465: 1464: 1452: 1451: 1450: 1435: 1433: 1427: 1426: 1424: 1423: 1422: 1421: 1419:Paragonimiasis 1402: 1400: 1394: 1393: 1391: 1390: 1389: 1388: 1370: 1369: 1368: 1350: 1349: 1348: 1346:Dicrocoeliasis 1330: 1329: 1328: 1315: 1313: 1307: 1306: 1304: 1303: 1302: 1301: 1299:Swimmer's itch 1289: 1288: 1287: 1273:S. haematobium 1250: 1248: 1239: 1224: 1214: 1213: 1204: 1202: 1201: 1194: 1187: 1179: 1170: 1169: 1166: 1165: 1154: 1139: 1123: 1118: 1117: 1115: 1114:Classification 1107: 1106:External links 1104: 1101: 1100: 1082: 1035: 988: 969: 942:(4): 697–704. 926: 901:Parasitol. 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1602: 1597: 1596: 1592: 1588: 1587:Cysticercosis 1584: 1581: 1580: 1579: 1577: 1572: 1571: 1566: 1565: 1561: 1557: 1554: 1553: 1552: 1551: 1546: 1545: 1541: 1540: 1538: 1536: 1532: 1529: 1526: 1521: 1517: 1505: 1502: 1501: 1500: 1499: 1495: 1491: 1488: 1487: 1486: 1485: 1481: 1477: 1474: 1473: 1472: 1471: 1467: 1463: 1460: 1459: 1458: 1457: 1453: 1449: 1448: 1444: 1443: 1442: 1441: 1437: 1436: 1434: 1432: 1428: 1420: 1417: 1416: 1415: 1414: 1413:P. kellicotti 1409: 1408: 1404: 1403: 1401: 1399: 1395: 1387: 1384: 1383: 1382: 1381: 1376: 1375: 1371: 1367: 1364: 1363: 1362: 1361: 1356: 1355: 1351: 1347: 1344: 1343: 1342: 1341: 1336: 1335: 1331: 1327: 1326:Clonorchiasis 1324: 1323: 1322: 1321: 1317: 1316: 1314: 1312: 1308: 1300: 1297: 1296: 1295: 1294: 1290: 1286: 1283: 1282: 1281: 1280: 1275: 1274: 1269: 1268: 1263: 1262: 1257: 1256: 1252: 1251: 1249: 1247: 1243: 1240: 1237: 1232: 1228: 1225: 1221: 1220:platyhelminth 1215: 1211: 1210:helminthiases 1207: 1200: 1195: 1193: 1188: 1186: 1181: 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373: 366: 362: 357: 350: 348: 340: 333: 328: 325: 321: 320: 315: 314: 309: 308:schistosomula 305: 299: 294: 290: 285: 281: 278: 274: 270: 266: 263: 259: 255: 251: 247: 246: 245: 243: 239: 235: 230: 228: 224: 220: 216: 212: 208: 204: 203: 198: 197: 192: 188: 184: 181: 177: 169: 167: 165: 161: 157: 153: 152:antihistamine 149: 144: 141: 137: 133: 128: 126: 122: 118: 114: 110: 106: 102: 98: 94: 84: 78: 75: 73: 69: 65: 62: 58: 54: 49: 45: 41: 36: 30: 19: 2246: 2231: 2219: 2205: 2182:Enterobiasis 2174: 2154: 2140: 2125: 2105: 2091: 2084: 2078:Toxocariasis 2067: 2060: 2046: 2032: 2005: 1991: 1985:Necatoriasis 1977: 1960: 1953: 1914: 1887: 1874: 1867: 1860:Thelazioidea 1841: 1834: 1828: 1815: 1807: 1793: 1784: 1776: 1762: 1720: 1654: 1640: 1627: 1600: 1593: 1575: 1569: 1562: 1549: 1542: 1496: 1482: 1468: 1454: 1445: 1438: 1412: 1405: 1379: 1372: 1360:F. gigantica 1359: 1352: 1339: 1332: 1318: 1298: 1291: 1278: 1272: 1266: 1261:S. japonicum 1260: 1253: 1156: 1141: 1126: 1094: 1085: 1052: 1048: 1038: 1008:(2): 424–6. 1005: 1001: 991: 982: 978: 972: 939: 936:J. Parasitol 935: 929: 904: 900: 858:(1): 19–23. 855: 852:J. Parasitol 851: 845: 810: 806: 766: 762: 753: 745: 710: 706: 696: 684:. Retrieved 671: 659:. Retrieved 655: 646: 635:. Retrieved 631: 622: 581: 577: 541: 535: 492: 488: 478: 467:. Retrieved 463: 454: 419:praziquantel 412: 405: 369: 345: 334:Risk factors 317: 311: 289:inflammatory 244:as follows: 231: 222: 218: 206: 200: 194: 173: 145: 129: 115:, a type of 113:schistosomes 100: 96: 92: 91: 29: 2247:C. hepatica 2213:Trichinosis 2198:Adenophorea 2054:Anisakiasis 1935:Strongylida 1916:Gongylonema 1907:Spiruroidea 1895:Thelaziasis 1875:G. hispidum 1749:Filarioidea 1713:Camallanida 1695:Secernentea 1662:Sparganosis 1648:Sparganosis 1601:H. diminuta 1570:T. asiatica 1440:Echinostoma 1380:O. felineus 1366:Fasciolosis 1311:Liver fluke 1246:Blood fluke 907:(1): 9–17. 415:Lake Annecy 361:Lake Annecy 238:vertebrates 164:Epsom salts 160:baking soda 148:hydroxyzine 43:Other names 2267:Categories 2118:Rhabditida 2040:Ascariasis 2025:Ascaridida 1816:D. immitis 1795:Mansonella 1787:filariasis 1754:Filariasis 1681:Roundworm/ 1398:Lung fluke 1267:S. mekongi 1208:caused by 1158:DiseasesDB 985:(1): 7–23. 637:2016-03-07 632:dnr.wi.gov 469:2016-03-07 446:References 313:T. regenti 254:miracidium 176:dermatitis 64:dermatitis 1842:B. timori 1740:Spirurida 1686:infection 1583:Taeniasis 1576:T. solium 1340:D. hospes 1223:infection 1218:Flatworm/ 598:0932-0113 509:1098-6618 440:Sea louse 269:sporocyst 183:parasites 121:incidence 72:Specialty 61:Cercarial 2288:Zoonoses 2167:Oxyurida 2048:Anisakis 1940:hookworm 1889:Thelazia 1704:Spiruria 1684:Nematode 1077:25327748 1069:10586906 1030:45216385 1022:11318576 964:43205388 956:15357056 921:10729712 763:Parasite 737:20735918 614:52945883 606:30302587 527:25567226 434:See also 383:Michigan 277:cercaria 213:. Other 180:flatworm 117:flatworm 2068:T. cati 1785:Loa loa 1778:Loa loa 1520:Cestoda 880:9488332 872:3284521 837:9692609 828:2809408 785:9879557 728:3294964 686:5 March 518:4284296 372:mollusc 351:Control 327:tissues 211:rodents 156:oatmeal 140:maculae 132:papules 1578:(pork) 1075:  1067:  1028:  1020:  962:  954:  919:  878:  870:  835:  825:  783:  735:  725:  661:12 May 612:  604:  596:  556:  525:  515:  507:  365:France 284:genera 227:marine 191:genera 189:. The 136:wheals 79:  1163:32723 1152:120.3 1137:B65.3 1073:S2CID 1026:S2CID 960:S2CID 868:JSTOR 759:(PDF) 680:(PDF) 610:S2CID 379:hosts 376:avian 324:nasal 293:itchy 258:cilia 250:water 225:. In 170:Cause 162:, or 150:, an 2143:spp. 1147:9-CM 1065:PMID 1018:PMID 952:PMID 917:PMID 876:PMID 833:PMID 781:PMID 733:PMID 688:2015 663:2014 602:PMID 594:ISSN 554:ISBN 523:PMID 505:ISSN 427:DEET 374:and 236:and 221:and 215:taxa 199:and 109:skin 1143:ICD 1128:ICD 1057:doi 1010:doi 944:doi 909:doi 860:doi 823:PMC 815:doi 811:120 771:doi 723:PMC 715:doi 656:CDC 586:doi 582:117 546:doi 513:PMC 497:doi 99:or 2269:: 2076:/ 2065:/ 1969:/ 1958:/ 1872:/ 1839:/ 1833:/ 1598:/ 1585:/ 1573:/ 1567:/ 1547:/ 1410:/ 1377:/ 1357:/ 1337:/ 1276:/ 1270:/ 1264:/ 1258:/ 1161:: 1150:: 1135:: 1132:10 1093:. 1071:. 1063:. 1053:61 1051:. 1047:. 1024:. 1016:. 1006:87 1004:. 1000:. 983:24 981:. 958:. 950:. 940:90 938:. 915:. 905:49 903:. 888:^ 874:. 866:. 856:84 854:. 831:. 821:. 809:. 805:. 793:^ 779:. 765:. 761:. 731:. 721:. 711:16 709:. 705:. 654:. 630:. 608:. 600:. 592:. 580:. 568:^ 552:. 521:. 511:. 503:. 493:28 491:. 487:. 462:. 363:, 158:, 127:. 95:, 2228:) 2224:( 1942:) 1938:( 1756:) 1752:( 1527:) 1523:( 1238:) 1234:( 1198:e 1191:t 1184:v 1145:- 1130:- 1120:D 1097:. 1079:. 1059:: 1032:. 1012:: 966:. 946:: 923:. 911:: 882:. 862:: 839:. 817:: 787:. 773:: 767:5 752:" 739:. 717:: 690:. 665:. 640:. 616:. 588:: 562:. 548:: 529:. 499:: 472:. 279:. 264:. 20:)

Index

Schistosome cercarial dermatitis

Cercarial
dermatitis
Specialty
Infectious diseases
Edit this on Wikidata
allergic contact dermatitis
skin
schistosomes
flatworm
incidence
emerging infectious disease
papules
wheals
maculae
hydroxyzine
antihistamine
oatmeal
baking soda
Epsom salts
dermatitis
flatworm
parasites
Schistosomatidae
genera
Trichobilharzia
Gigantobilharzia
rodents
taxa

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