Outbreak of rove beetle (Staphylinid) pustular contact dermatitis in Pakistan among deployed U.S. personnel.

Deployed military personnel are often faced with a variety of exposures unfamiliar to U.S. physicians. This is the first report to describe an outbreak of a pustular disease among U.S. personnel deployed to Pakistan in support of Operation Enduring Freedom. Up to 10% of the base population was affli...

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Publicado en:Military Medicine Vol. 169; no. 1; pp. 57 - 61
Autores principales: Dursteler BB, Nyquist RA, Dursteler, Brian B, Nyquist, Robert A
Formato: pictorial tables/charts Journal Article
Publicado: Oxford University Press / USA Jan2004
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Outbreak of rove beetle (Staphylinid) pustular contact dermatitis in Pakistan among deployed U.S. personnel.
      aug:
        au:
          Dursteler BB
          Nyquist RA
          Dursteler, Brian B
          Nyquist, Robert A
        affil: Emergency Services, 56 MDG, Luke AFB Hospital, 7219 North Litchfield Road, Luke Air Force Base, AZ 85309-1513, USA
      sug:
        subj:
          Blister Etiology
          Dermatitis Etiology
          Disease Outbreaks
          Erythema
          Insect Bites and Stings
          Insects
          Military Personnel
          Epidemiology
          Government Agencies
          Pakistan
          United States Ethnology
      ab: Deployed military personnel are often faced with a variety of exposures unfamiliar to U.S. physicians. This is the first report to describe an outbreak of a pustular disease among U.S. personnel deployed to Pakistan in support of Operation Enduring Freedom. Up to 10% of the base population was afflicted with a pustular eruption and an accompanying halo of erythema. A retrospective chart review and ongoing patient care resulted in 191 cases. Various therapies were used, including "watchful waiting." Gradual resolution occurred with residual area(s) of hypo- or hyperpigmentation. An irritant contact dermatitis was suspected based upon clinical presentation; staphylinid (rove) beetles were implicated. Rove beetle dermatitis from a pederin toxin has occurred in other parts of the world but has not been previously reported in Pakistan. We discuss the nature and progression of the dermatitis, treatments, outcomes, measures to control exposures, and the implications of such outbreaks.
      pubtype: Academic Journal
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        pictorial
        tables/charts
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    language: English
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