RT Book, Section
A1 Weinberg, Samuel
A1 Prose, Neil S.
A1 Kristal, Leonard
SR Print(0)
ID 6987520
T1 Section 7. Bites and Infestations
T2 Color Atlas of Pediatric Dermatology, 4e
YR 2008
FD 2008
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-145543-5
LK accesspediatrics.mhmedical.com/content.aspx?aid=6987520
RD 2024/04/24
AB Many  effects  of  metazoal  parasitism  are  attributed  to  bites.  Some  metazoa  (insects  in  a  loose  sense)  do  indeed  bite,  and  others  sting,  but  what  we  frequently  designate  as  insect  bite  is  attachment  for  feeding.  The  result  of  such  attachment  looks  like  a  bite  and  is  sooner  or  later  attended  by  pain,  itching,  or  stinging.  True  bites  and  stings,  however,  are  instantly  painful;  many  have  immediate  or  late,  more  baleful  effects;  and  most  are  generally  inflicted  in  self-defense  or  seemingly  wanton  offense,  not  for  feeding.  Attachment  for  feeding  is  parasitism  that  may  be  silent  for  a  while  and  then  variably  symptomatic.  In  a  given  region,  common  indigenous  metazoa  that  cause  cutaneous  effects  by  a  bite,  sting,  or  attachment  for  feeding  may  be  recognized  or  guessed  from  signs  and  symptoms.  These  two  illustrations  are  representative.  Figure  7-1  may  be  guessed  with  reasonable  correctness  to  be  mosquito  “bites,”  and  Fig.  7-2  to  be  flea  bites.  We  use  quotation  marks  to  suggest  that  the  proboscis  of  a  mosquito  is  not  a  true  biting  part.  Fleas  may  nip.