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Fleas

 

Definition

Fleas are blood-sucking insects that feed on humans, dog, cats, and other animals. Fleas do not have wings.

Alternative Names

Dog fleas; Siphonaptera

Causes

Fleas prefer to live on dogs and cats, but may also be found on humans and other available animals. Pet owners may not be bothered by fleas until their pet is gone for a lengthy period of time, and the fleas must find another place to go. This is when they begin to bite humans. Bites frequently occur around the waist, ankles, armpits, and in the bend of the elbows and knees.

Symptoms
  • Hives
  • Itching can be all over or just where the rash is
  • Itching can be severe
  • Rash with small bumps that itch and may bleed
    • Located on the armpit or fold of a joint (at the elbow, knee, or ankle)
    • The amount of skin affected increases over time (enlarging skin rash or lesion) or the rash spreads to other areas
    • When pressed the area turns white (blanches to touch)
  • Skin folds such as under the breasts or in the groin may be affected (intertrigo)
  • Swelling only around a sore or injury

Note: Symptoms often begin suddenly (within hours).

Signs and tests

No testing is necessary.

Support Groups

Expectations (prognosis)

Getting rid of fleas can be difficult and takes persistence.

Complications

Scratching can lead to a secondary skin infection.

Treatments

The goal of treatment is to get rid of the fleas by treating the home, pets, and outside areas with insecticide. Small children should not be in the home when insecticides are being used. Birds and fish must be protected during spraying. Home foggers and flea collars do not always work. If home treatments do not work, professional extermination may be needed.

If flea bites occur, an over-the-counter 1% hydrocortisone cream can help relieve itching.

Prevention

Prevention may not be possible in all cases. Use of insecticides may be helpful if fleas are common in your area. Professional extermination may be necessary in some cases.


Review Date: 10/15/2008
Reviewed By: Daniel Rauch, MD, FAAP. Director, Pediatric Hospitalist Program, New York University School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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