Wszy odzieżowe
Objawy

Wszawica odzieżowa (pediculosis corporis) jest chorobą pasożytniczą wywoływaną przez wszy odzieżowe (Pediculus humanus corporis), które bytują głównie w odzieży i pościeli, a na skórę przenoszą się jedynie w celu pobierania krwi. Charakterystycznym objawem infestacji jest intensywny świąd nasilający się nocą, lokalizujący się głównie w miejscach przylegania odzieży do skóry, takich jak talia, pachy czy pachwiny. Na skórze obserwuje się czerwone punkty, grudki, strupy oraz przebarwienia, które w przewlekłych przypadkach mogą prowadzić do zgrubień i zmian pigmentacyjnych (choroba włóczęgów). Diagnostyka opiera się na identyfikacji dorosłych wszy (2,3-3,6 mm) oraz jaj (gnid, około 1 mm) w szwach odzieży. Reakcja alergiczna na ślinę pasożyta może pojawić się po 4-6 tygodniach od pierwszej ekspozycji, a przy kolejnych kontaktach świąd rozwija się szybciej (1-2 dni). Infestacja może przebiegać bezobjawowo, co nie wyklucza zdolności przenoszenia pasożytów na innych.

Objawy Wszy Odzieżowych

Wszawica odzieżowa (pediculosis corporis) to choroba pasożytnicza wywoływana przez wesz odzieżową (Pediculus humanus corporis), która bytuje głównie w odzieży i pościeli człowieka, a na skórę przenosi się tylko w celu odżywiania się krwią gospodarza12. Dorosła wesz odzieżowa ma około 2,3-3,6 mm długości i jest koloru szarego lub jasnobrązowego3. Rozpoznanie objawów wszy odzieżowych jest kluczowe dla wczesnego wykrycia i skutecznego leczenia infestacji.

Główne objawy kliniczne

Najczęstszym i najbardziej charakterystycznym objawem infestacji wszami odzieżowymi jest intensywny świąd (pruritus), który stanowi reakcję alergiczną na ślinę owada45. Świąd jest zwykle bardziej nasilony w nocy, gdy pasożyty są najbardziej aktywne67. Szczególnie intensywnie występuje wokół talii, pod pachami oraz w miejscach, gdzie odzież przylega ściślej do ciała, np. w okolicy ramiączek biustonosza89.

Na skórze pacjenta mogą być widoczne niewielkie, czerwone punkty lub wypukłe grudki będące miejscami ukłuć1011. Ukłucia te mogą tworzyć małe obszary krwi i strupków na skórze w miejscu ugryzienia12. Charakterystyczne jest występowanie tych zmian głównie w miejscach, gdzie szwy odzieży dotykają skóry, takich jak okolica szyi, ramion, pach, talii i pachwin13.

Reakcje skórne

U pacjentów z inwazją wszy odzieżowych mogą występować różnorodne zmiany skórne14:

  • Wysypka spowodowana reakcją alergiczną na ugryzienia15
  • Czerwone grudki na skórze, które mogą przekształcić się w strupy lub pokryć się skorupą po drapaniu16
  • Drobne czerwone plamki przypominające nakłucia17
  • Małe, przebarwione (czerwone, fioletowe, brązowe) kropki lub ugryzienia, które mogą powiększać się i rozwijać jaśniejszy pierścień dookoła18

Zmiany skórne mają początkowo postać niewielkich, czerwonych punktów, które później przekształcają się w małe guzki lub grudki podobne do torbieli. Obszar wokół ugryzienia staje się zapalny, co powoduje silny świąd i podrażnienie19.

Powikłania i długotrwałe zmiany

Przy długotrwałej infestacji wszami odzieżowymi, obszary skóry często kąsane przez wszy mogą ulegać zgrubieniu i przebarwieniu2021. Zmiany te są najbardziej widoczne w środkowej części ciała – wokół talii, w okolicy pachwin i na górnych częściach ud2223. Stan ten, nazywany czasem chorobą włóczęgów (vagabonds disease), charakteryzuje się niebiesko-szarym zabarwieniem skóry2425.

Intensywne drapanie w miejscu ugryzień może prowadzić do powstania ran i otarć, które mogą ulec wtórnym infekcjom bakteryjnym lub grzybiczym2627. Te wtórne zakażenia mogą wymagać dodatkowego leczenia medycznego28.

Objawy ogólnoustrojowe

Długotrwała infestacja wszami odzieżowymi może również prowadzić do objawów ogólnoustrojowych, takich jak:

  • Zmęczenie i osłabienie29
  • Apatia i letarg30
  • Ogólne złe samopoczucie31

W rzadkich przypadkach niektóre osoby mogą reagować na inwazję wszy odzieżowych podobnie jak na infekcję ogólnoustrojową, z objawami przypominającymi grypę32.

Rozpoznanie i diagnoza

Rozpoznanie wszawicy odzieżowej opiera się na zidentyfikowaniu jaj (gnid) i dorosłych pasożytów w szwach odzieży3334. W przeciwieństwie do wszy głowowych, wszy odzieżowe nie przytwierdzają jaj do włosów, lecz składają je w szwach i fałdach odzieży35.

Diagnostyka obejmuje dokładne badanie ciała pacjenta oraz jego odzieży w poszukiwaniu wszy i ich jaj. Lekarz zwraca szczególną uwagę na miejsca ukłuć lub rany w okolicach, gdzie szwy odzieży przylegają do skóry, takich jak pachy, talia czy tułów36. Czasami można zaobserwować dorosłą wesz pełzającą po skórze podczas pobierania pokarmu3738.

Dorosłe wszy odzieżowe mają około wielkości nasion sezamu lub są nieco większe3940. Jaja (gnidy) są znacznie mniejsze, około 1 mm, i mogą być trudne do zauważenia bez użycia szkła powiększającego41.

Przebieg i progresja choroby

Czas pojawienia się objawów

Objawy wszawicy odzieżowej mogą nie wystąpić natychmiast po zakażeniu. U osób, które po raz pierwszy mają kontakt z wszami, reakcja alergiczna na ślinę pasożytów (objawiająca się świądem) może rozwinąć się dopiero po 4-6 tygodniach od pierwszej ekspozycji4243. Przy kolejnych ekspozycjach świąd pojawia się znacznie szybciej, zwykle w ciągu 1-2 dni44.

Należy podkreślić, że u niektórych osób objawy mogą w ogóle nie wystąpić lub mogą być bardzo łagodne4546. Brak objawów nie oznacza jednak braku zakażenia – osoba zainfekowana może nadal przenosić wszy na innych, nawet jeśli sama nie odczuwa typowych objawów47.

Naturalny przebieg infestacji

Bez leczenia, infestacja wszami odzieżowymi może trwać długo i prowadzić do nasilenia objawów. Cykl życiowy wszy odzieżowej obejmuje następujące etapy48:

  • Jaja (gnidy) wylęgają się po około 7-10 dniach
  • Nimfy (młode wszy) potrzebują 2-3 tygodni, aby przekształcić się w dorosłe osobniki zdolne do reprodukcji
  • Dorosłe wszy mogą żyć przez około miesiąc, a samica w tym czasie składa 20-30 jaj

Dorosłe wszy nie są w stanie przeżyć dłużej niż 5-7 dni po oddzieleniu od żywiciela49. Z kolei jaja wylęgają się w ciągu 1-2 tygodni i mogą być zniszczone przez odpowiednie pranie odzieży lub pościeli w gorącej wodzie50.

Czynniki ryzyka i rozprzestrzenianie

Wszawica odzieżowa zwykle dotyka osoby, które nie mają dostępu do regularnej higieny osobistej, żyją w zatłoczonych warunkach lub nie mają możliwości regularnej wymiany odzieży5152. Grupami szczególnie narażonymi są osoby bezdomne oraz osoby przebywające w przeludnionych miejscach z ograniczonym dostępem do urządzeń sanitarnych53.

Wszy odzieżowe rozprzestrzeniają się głównie poprzez bliski kontakt z zakażoną osobą lub przez kontakt z zanieczyszczoną odzieżą i pościelą54. W przeciwieństwie do wszy głowowych, wszy odzieżowe mogą również przenosić poważne choroby bakteryjne, takie jak5556:

Choroby te są jednak rzadkie, z wyjątkiem obszarów, gdzie ludzie żyją razem w niehigienicznych warunkach57.

Leczenie i ustępowanie objawów

Leczenie wszawicy odzieżowej różni się od leczenia innych rodzajów wszawicy, ponieważ głównym celem jest eliminacja pasożytów z odzieży, a nie bezpośrednio z ciała pacjenta58.

Metody leczenia

Podstawowe metody leczenia wszawicy odzieżowej obejmują5960:

  • Regularną kąpiel z użyciem mydła i wody
  • Pranie odzieży i pościeli w gorącej wodzie (minimum 65°C) i suszenie ich w wysokiej temperaturze
  • Regularna wymiana odzieży na czystą

W przypadku rozległych infestacji może być konieczne zastosowanie środków przeciwko pasożytom, takich jak permetryna (Nix) lub malation6162. Po kąpieli z mydłem i wodą, należy nałożyć permetrynę na dotknięte obszary przed snem, a następnie wziąć prysznic rano. Leczenie to należy powtórzyć po 9 dniach od pierwszej aplikacji63.

W przypadku oporności wszy na standardowe leczenie, może być konieczne zastosowanie iwermektyny doustnie64.

Czas ustępowania objawów

Po skutecznej eliminacji wszy odzieżowych, podrażnienie skóry i inne objawy ustępują stosunkowo szybko6566. Całkowite pozbycie się infestacji może zająć do dwóch tygodni67.

Świąd może jednak utrzymywać się jeszcze przez kilka dni do tygodnia po eliminacji wszy, ponieważ jest on reakcją na ślinę pasożytów, która wymaga czasu na całkowite ustąpienie68. W przypadku silnego świądu lekarz może zalecić stosowanie kremów przeciwświądowych dostępnych bez recepty lub, w przypadku intensywnego świądu, leki przeciwhistaminowe69.

Skuteczność leczenia

Metody leczenia wszawicy odzieżowej są bardzo skuteczne w zabijaniu nimf i dorosłych wszy, ale mniej skuteczne w niszczeniu jaj70. Dlatego ważne jest, aby dokładnie przestrzegać zaleceń dotyczących prania i dezynfekcji odzieży oraz pościeli, a także powtórzyć leczenie po odpowiednim czasie, aby zabić nowo wyklute wszy71.

Odpowiednio zastosowana terapia prowadzi do wyleczenia w ponad 90% przypadków72. Rokowanie dotyczące eliminacji wszawicy odzieżowej jest doskonałe, jeśli pacjenci regularnie się kąpią i mają cotygodniowy dostęp do wypranej odzieży i pościeli73.

Powikłania zdrowotne

Chociaż sama infestacja wszami odzieżowymi zwykle powoduje minimalne problemy zdrowotne, może ona prowadzić do pewnych powikłań7475.

Infekcje wtórne

Najczęstszym powikłaniem wszawicy odzieżowej są wtórne infekcje skóry76. Gdy wszy drapią i wgryzają się w skórę, aby żywić się krwią, mogą podrażniać skórę. Jeśli pacjent drapie się, aby złagodzić świąd, może to również podrażniać skórę. Jeśli skóra staje się surowa z powodu tych podrażnień, mogą rozwinąć się inne infekcje bakteryjne lub grzybicze77.

Intensywne drapanie może prowadzić do poważnych infekcji wtórnych, takich jak liszajec (bakteryjne zakażenie skóry) lub czyraki78. Te wtórne infekcje mogą wymagać dodatkowego leczenia antybiotykami lub innymi lekami79.

Choroby przenoszone przez wszy

Wszy odzieżowe, w przeciwieństwie do wszy głowowych, mogą przenosić poważne choroby bakteryjne8081:

  • Dur wysypkowy (tyfus epidemiczny) – objawy obejmują silny ból głowy, wysoką gorączkę, kaszel, wysypkę, bóle mięśni, dreszcze, spadek ciśnienia krwi, stupor, wrażliwość na światło i majaczenie82
  • Gorączka okopowa – choroba bakteryjna przenoszona przez wszy odzieżowe
  • Gorączka powrotna – ostra choroba zakaźna charakteryzująca się nawracającymi epizodami gorączki

Te choroby są jednak rzadkie i występują głównie w obszarach, gdzie ludzie żyją w przeludnionych i niehigienicznych warunkach, takich jak obozy dla uchodźców czy w czasie konfliktów zbrojnych, gdy dobra higiena nie jest możliwa8384.

Długotrwałe skutki

Długotrwała infestacja wszami odzieżowymi może prowadzić do istotnych zmian skórnych85:

  • Zgrubienie i przebarwienie skóry, szczególnie w okolicach talii, pachwin i górnych części ud
  • Stany przypominające wyprysk lub pokrzywkę
  • Przewlekłe podrażnienie skóry

U osób długotrwale zakażonych wszami mogą również wystąpić objawy ogólnoustrojowe, takie jak apatia, letarg i zmęczenie86, co może wpływać na ogólną jakość życia.

Podsumowując, wczesne rozpoznanie i leczenie wszawicy odzieżowej jest kluczowe dla zapobiegania powikłaniom. Poprawa higieny osobistej i regularne pranie odzieży w wysokiej temperaturze stanowią podstawę skutecznego leczenia i zapobiegania nawrotom infestacji87.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 About Body Lice | Lice | CDC
    https://www.cdc.gov/lice/about/body-lice.html
    Intense itching (pruritus) and rash caused by an allergic reaction to louse bites are common symptoms of body lice infestation. […] When body lice infestation lasts long, heavily bitten areas of the skin can become thickened and darkened, particularly in the mid-section of the body (waist, groin, upper thighs).
  • #2
    https://acis.cals.arizona.edu/community-ipm/public-health-ipm/body-lice
    Body lice are parasitic insects that live on clothing and bedding of infested people. They frequently lay their eggs on or near the seams of clothing. Body lice must feed on human blood and usually only move to the skin to feed, remaining on clothing or bedding at other times. […] The common symptoms of body lice infestation are intense itching (pruritus) and rash caused by an allergic reaction to body lice bites. If the body lice infestation has been present for a long time, heavily bitten areas of the skin can become thickened or darkened, usually around the midsection, near the waist, groin, and upper thighs. This condition is called vagabonds disease. As with other lice infestations, intense itching can lead to scratching which can cause sores on the body; these sores sometimes can become infected with bacteria or fungi and require medical treatment.
  • #3 Lice bites: Pictures, identification, and treatment
    https://www.medicalnewstoday.com/articles/322691
    Body lice are between 2.3-3.6 mm in length and tan or gray in color. They live in bedding and clothing and crawl onto the skin several times a day to feed. […] People with body lice may experience itching and rashes if they have allergic reactions to the bites. Some thickening or discoloration of the skin may also occur after prolonged periods of infestation. […] Body lice most often spread through close contact with infected individuals. Body lice are more common in areas with overcrowding and poor hygiene. Body lice can carry bacterial diseases, including typhus, relapsing fever, and trench fever, though these conditions are rare, except in areas where people live together in unsanitary conditions.
  • #4 Mayo Clinic Health Library – Body lice | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20154560
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever or trench fever.
  • #5 Body lice Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/body-lice
    Lice cause severe itching. The itching is a reaction to the saliva from the insect’s bite. Itching is usually worse around the waist, under the arms, and in places where clothing is tighter and closer to the body (such as near bra straps). […] You may have red bumps on your skin. The bumps may scab or become crusty after scratching. […] Skin around the waist or groin may become thickened or change color if you have been infected with lice in that area for a long time.
  • #6 Body and Pubic Lice (Causes, Symptoms, and Treatment)
    https://patient.info/sexual-health/pubic-and-body-lice-leaflet
    Itching at night is common and usually occurs on the trunk, the armpits or the groin. This happens because body lice usually live in clothing during the day, only moving on to the skin when feeding on the person’s blood. As with pubic lice, there may be small red lumps and blue spots. […] Some people do not get any symptoms but notice the lice or nits on their body or clothes.
  • #7 Symptoms of Lice & Scabies
    https://www.webmd.com/skin-problems-and-treatments/understanding-lice-scabies-symptoms
    Body lice: intense itching and rash. Sores may develop as a result of scratching. […] Symptoms may not occur for four to six weeks. Some people may have no symptoms.
  • #8 Body lice Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/body-lice
    Lice cause severe itching. The itching is a reaction to the saliva from the insect’s bite. Itching is usually worse around the waist, under the arms, and in places where clothing is tighter and closer to the body (such as near bra straps). […] You may have red bumps on your skin. The bumps may scab or become crusty after scratching. […] Skin around the waist or groin may become thickened or change color if you have been infected with lice in that area for a long time.
  • #9 Body lice: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000838.htm
    Body lice cause severe itching. The itching is a reaction to the saliva from the insect’s bite. Itching is usually worse around the waist, under the arms, and in places where clothing is tighter and closer to the body (such as near bra straps). […] You may have red bumps on your skin. The bumps may scab or become crusty after scratching. […] Skin around the waist or groin may become thickened or change color if you have been infected with lice in that area for a long time.
  • #10 Body Lice Infestation: Causes, Symptoms & Diagnosis
    https://www.healthline.com/health/body-lice
    Common symptoms of a body lice infestation include: […] intense itching (pruritus) […] rash caused by an allergic reaction to body lice bites […] red bumps on the skin […] thickened or darkened skin, usually near the waist or groin, if the lice have been there for a long time.
  • #11 Body Lice Symptoms, Diagnosis, and Treatment| Everyday Health
    https://www.everydayhealth.com/lice/body-lice-symptoms-diagnosis-treatment/
    Those who are dealing with a body lice infestation will notice tiny, red, pinpoint bites on the body, most commonly on the areas where clothing seams touch skin, such as around the neck, shoulders, armpits, waist, and groin area. The biggest clue that you may be dealing with a body lice infestation is the intense itching, called pruritus. A rash, caused by an allergic reaction to body lice bites, may also be present. […] At times, itching the bites can cause sores, which can become infected with bacteria or fungi, causing secondary infections. For those who have been struggling with a body lice infestation for an extended period of time, the waist to upper thigh area may become thickened and discolored blue-gray due to the bites. This condition is called vagabonds disease. […] Symptoms of a body lice infestation include tiny red bites on the body, often in areas where clothing seams touch skin around the neck, shoulders, armpits, waist, and groin area intense itching, and a rash caused by an allergic reaction to the bites. Scratching the bites can lead to sores and infections.
  • #12 Mayo Clinic Health Library – Body lice | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20154560
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever or trench fever.
  • #13 Body Lice Symptoms, Diagnosis, and Treatment| Everyday Health
    https://www.everydayhealth.com/lice/body-lice-symptoms-diagnosis-treatment/
    Those who are dealing with a body lice infestation will notice tiny, red, pinpoint bites on the body, most commonly on the areas where clothing seams touch skin, such as around the neck, shoulders, armpits, waist, and groin area. The biggest clue that you may be dealing with a body lice infestation is the intense itching, called pruritus. A rash, caused by an allergic reaction to body lice bites, may also be present. […] At times, itching the bites can cause sores, which can become infected with bacteria or fungi, causing secondary infections. For those who have been struggling with a body lice infestation for an extended period of time, the waist to upper thigh area may become thickened and discolored blue-gray due to the bites. This condition is called vagabonds disease. […] Symptoms of a body lice infestation include tiny red bites on the body, often in areas where clothing seams touch skin around the neck, shoulders, armpits, waist, and groin area intense itching, and a rash caused by an allergic reaction to the bites. Scratching the bites can lead to sores and infections.
  • #14 Pediculosis Corporis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482148/
    Pediculosis corporis is a skin condition caused by body lice (Pediculus humanus corporis) that feed on human blood. Body lice are parasitic insects that feed on human blood. The most significant difference between body and head lice is the distinct ability of body lice to transmit the bacterial diseases of trench fever, relapsing fever, and epidemic typhus to humans. Body lice infestations can involve thousands of mites, each biting an average of 5 times daily. Bites of the body louse can produce a variety of skin lesions, and severe pruritus is thought to be due to an allergic or inflammatory reaction to the louse’s saliva. The primary symptom of body lice infestations is severe pruritus. The dermatologic findings in body lice infestation vary but include pyoderma, erythematous macules, wheals, and hemorrhagic puncta. In chronic body lice infestation, frequently bitten areas of the skin can develop notable thickening and discoloration, a condition known as vagabonds disease. Dermatologic findings tend to be most prominent in areas where clothing seams are in contact with the skin, such as the waist, groin, thighs, and axillary folds. Infestation with body lice is typically diagnosed by finding eggs and lice in seams of clothing rather than on the skin. The prognosis for eradicating body lice infestation is excellent if patients shower regularly and have weekly access to laundered clothing and bedding. Significant morbidity and mortality are associated with louse-borne diseases but can be reduced substantially with early recognition and appropriate antibiotic therapy.
  • #15 Body Lice | MedlinePlus
    https://medlineplus.gov/bodylice.html
    The most common symptom of body lice is intense itching. There may also be a rash, which is caused by an allergic reaction to the bites. The itching causes some people to scratch until they get sores. Sometimes these sores can become infected with bacteria or fungi. […] If someone has body lice for a long time, the heavily bitten areas of their skin can become thickened and discolored. This is most common around your midsection (waist, groin, and upper thighs).
  • #16 Body lice Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/body-lice
    Lice cause severe itching. The itching is a reaction to the saliva from the insect’s bite. Itching is usually worse around the waist, under the arms, and in places where clothing is tighter and closer to the body (such as near bra straps). […] You may have red bumps on your skin. The bumps may scab or become crusty after scratching. […] Skin around the waist or groin may become thickened or change color if you have been infected with lice in that area for a long time.
  • #17 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #18 Body Lice (Pediculosis): Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/17919-body-lice
    Symptoms of body lice bites include itchy and irritated skin and small, discolored bites. […] Body lice infestations (pediculosis) usually cause itchy skin and a skin rash at the site of louse bites. Some people don’t have any symptoms at all. Most people recover from body lice infestations without using medication. […] Common symptoms include: A tickling feeling on your skin. Itchy and irritated skin. Groups of small, discolored (red, purple, brown) dots or bites. They may grow bigger and develop a lighter discolored ring around the outside. […] More severe symptoms may include: Sores. Infections. […] If you have a long-term body lice infestation, or if lice heavily bite certain areas of your skin, your skin may thicken and get darker. […] Most people with body lice recover without medication. […] It may take up to two weeks for your body lice infestation to go away. Nits hatch in one to two weeks and can be killed through proper washing of clothing or bedding in hot water. Adult lice and nymphs will die in one to two days if they can’t feed on your blood.
  • #19 Body lice | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/body-lice
    Body lice (Pediculus humanus corporis) are small blood-sucking insects that live on the body of infested humans and in their clothing or bedding, particularly the seams. […] The characteristics of a body louse bite include:A tiny red dot initially appears. The red dot rises into a small cyst-like lump or papule. The area becomes inflamed. The bite causes irritation and severe itching. Secondary infection can result from continuous scratching. […] Body lice are visible to the naked eye and occasionally a body louse can be seen crawling or feeding on the skin. Crawling lice can sometimes be seen in the seams of clothing or bedding.
  • #20 About Body Lice | Lice | CDC
    https://www.cdc.gov/lice/about/body-lice.html
    Intense itching (pruritus) and rash caused by an allergic reaction to louse bites are common symptoms of body lice infestation. […] When body lice infestation lasts long, heavily bitten areas of the skin can become thickened and darkened, particularly in the mid-section of the body (waist, groin, upper thighs).
  • #21 Body Lice: Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-body-lice?xid1=tw_DG_SF
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin, or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever, or trench fever.
  • #22 Body lice: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/body-lice
    Severe itching is the main symptom of body lice infestation. The itching may be persistent enough to lead to constant scratching and the development of sores. If people experience an allergic reaction to the bites, a rash might develop. Bacterial or fungal infections may develop in these sores. […] Long-term body lice infestation can lead to skin discoloration and thickening, often around the groin, upper thighs, and waist.
  • #23 Body Lice | MedlinePlus
    https://medlineplus.gov/bodylice.html
    The most common symptom of body lice is intense itching. There may also be a rash, which is caused by an allergic reaction to the bites. The itching causes some people to scratch until they get sores. Sometimes these sores can become infected with bacteria or fungi. […] If someone has body lice for a long time, the heavily bitten areas of their skin can become thickened and discolored. This is most common around your midsection (waist, groin, and upper thighs).
  • #24 Body Lice Symptoms, Diagnosis, and Treatment| Everyday Health
    https://www.everydayhealth.com/lice/body-lice-symptoms-diagnosis-treatment/
    Those who are dealing with a body lice infestation will notice tiny, red, pinpoint bites on the body, most commonly on the areas where clothing seams touch skin, such as around the neck, shoulders, armpits, waist, and groin area. The biggest clue that you may be dealing with a body lice infestation is the intense itching, called pruritus. A rash, caused by an allergic reaction to body lice bites, may also be present. […] At times, itching the bites can cause sores, which can become infected with bacteria or fungi, causing secondary infections. For those who have been struggling with a body lice infestation for an extended period of time, the waist to upper thigh area may become thickened and discolored blue-gray due to the bites. This condition is called vagabonds disease. […] Symptoms of a body lice infestation include tiny red bites on the body, often in areas where clothing seams touch skin around the neck, shoulders, armpits, waist, and groin area intense itching, and a rash caused by an allergic reaction to the bites. Scratching the bites can lead to sores and infections.
  • #25 Body Lice Infestation: Symptoms and Treatments
    https://www.wikihow.com/Recognize-Body-Lice-Symptoms
    Intense scratching can lead to serious secondary infections. […] Body lice are known to spread disease, such as relapsing fever and typhus. […] Vagabonds disease is a condition caused by an infestation of lice for a significant period of time. The condition consists of darkening and hardening of the skin in heavily bitten areas, usually the mid-section of the body.
  • #26 Body lice: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/body-lice
    Severe itching is the main symptom of body lice infestation. The itching may be persistent enough to lead to constant scratching and the development of sores. If people experience an allergic reaction to the bites, a rash might develop. Bacterial or fungal infections may develop in these sores. […] Long-term body lice infestation can lead to skin discoloration and thickening, often around the groin, upper thighs, and waist.
  • #27 Body Lice Symptoms, Diagnosis, and Treatment| Everyday Health
    https://www.everydayhealth.com/lice/body-lice-symptoms-diagnosis-treatment/
    Those who are dealing with a body lice infestation will notice tiny, red, pinpoint bites on the body, most commonly on the areas where clothing seams touch skin, such as around the neck, shoulders, armpits, waist, and groin area. The biggest clue that you may be dealing with a body lice infestation is the intense itching, called pruritus. A rash, caused by an allergic reaction to body lice bites, may also be present. […] At times, itching the bites can cause sores, which can become infected with bacteria or fungi, causing secondary infections. For those who have been struggling with a body lice infestation for an extended period of time, the waist to upper thigh area may become thickened and discolored blue-gray due to the bites. This condition is called vagabonds disease. […] Symptoms of a body lice infestation include tiny red bites on the body, often in areas where clothing seams touch skin around the neck, shoulders, armpits, waist, and groin area intense itching, and a rash caused by an allergic reaction to the bites. Scratching the bites can lead to sores and infections.
  • #28 Body Lice: Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-body-lice
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] See your doctor if improved hygiene doesn’t eliminate the infestation, or if you develop a skin infection from scratching the bites. […] Body lice infestations usually cause minimal problems. However, a body lice infestation sometimes leads to complications such as secondary infections. When body lice scratch and dig to feed on your blood, they may irritate your skin. If you scratch to alleviate itching, this also can irritate your skin. If your skin becomes raw from these irritations, other infections may develop. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin, or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever, or trench fever.
  • #29 Body lice Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/body-lice.html
    A person affected by body lice often has itching, which is an allergic reaction to their saliva. The reaction to the bites may appear as small welt-like marks and, possibly, redness and swelling, particularly around the neck and on the torso. A heavy, long-lasting infestation may produce a darkening and thickening of the skin, fatigue and other symptoms. Scratching the bites can lead to infection. […] Once body lice are eliminated, the skin irritation and other symptoms go away quickly.
  • #30 Body louse – Wikipedia
    https://en.wikipedia.org/wiki/Body_louse
    Since an infestation can include thousands of lice, with each of them biting five times a day, the bites can cause strong itching, especially at the beginning of the infestation, that can result in skin excoriations and secondary infections. […] If an individual is exposed to a long-term infestation, they may experience apathy, lethargy and fatigue.
  • #31 Body Lice Symptoms, Treatment | Picture of Eggs (Nits)
    http://www.livingwithbugs.com/body_lice.html
    Itching and rash are common symptoms of body lice bites. […] Body lice infestations have also been associated with a form of typhus called epidemic, or louse-borne typhus, which is caused by the bacterium Rickettsia prowazeki. Symptoms of epidemic typhus include severe headache, a high fever, cough, rash, muscle pain, chills, falling blood pressure, stupor, sensitivity to light, and delirium. In addition, chronic body lice infestations, alone, can lead to malaise and feeling „lousy”.
  • #32 17 Lice Symptoms with Pictures: Signs That You Have Head Lice – My Lice Advice
    https://myliceadvice.com/lice-symptoms-signs-pictures/
    There are, on rare occasions, people whose bodies respond to lice as if they had a systemic infection, such as the flu. […] The symptoms of lice can last for another week after lice is gone, because the symptoms are a reaction to the lice bites/lice saliva, which takes some time to resolve, but most people continue to have lice symptoms after treatment with over-the-counter products because lice are immune to those products.
  • #33 Body Lice | Disease Outbreak Control Division
    https://health.hawaii.gov/docd/disease_listing/body-lice-ukus/
    Body lice are small, usually pale- to grey-colored insects that live and reproduce in clothing worn by humans. The reactions to or results of louse feedings may be the first symptoms noted. Bites can cause itching at the feeding sites. Scratching may break the skin and lead to skin infections. Feeding sites may look like small, red dots on the skin. Body lice are known to transmit bacterial infections that cause three human diseases: louse-borne typhus (Rickettsia prowazeki), trench fever (Rochalimaea quintana), and louse-borne relapsing fever (Borrelia recurrentis). […] Body lice can be diagnosed by finding eggs and crawling lice in the seams of clothes. Sometimes a body louse can be seen crawling on skin during feeding.
  • #34 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The body louse (Pediculus humanus) is most often seen in cold climates, in poor sanitation and with overcrowding. […] Patients usually present after discovering lice or nits. Many lice infestations are asymptomatic. Pruritus is accompanied by excoriations that can become infected secondarily and papules linked to bite reactions. […] Diagnosis is based on seeing eggs (nits), nymphs or mature lice. Observing lice is difficult. Nymphs and mature lice, despite being unable to hop or jump, can move rapidly through dry hair. The use of a magnifying glass assists with diagnosis. […] Mature lice are 3-4 mm long. Nits are much smaller (about 1 mm). The pubic louse is about the same length as the head or body louse but has a wider body. […] Body lice can be found in any area of the body, although they tend to avoid the scalp, except at the margins. Nits are laid in the host’s clothing and are not usually found on the hair as with head lice and pubic lice. Body lice and eggs are found in clothing seams.
  • #35 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The body louse (Pediculus humanus) is most often seen in cold climates, in poor sanitation and with overcrowding. […] Patients usually present after discovering lice or nits. Many lice infestations are asymptomatic. Pruritus is accompanied by excoriations that can become infected secondarily and papules linked to bite reactions. […] Diagnosis is based on seeing eggs (nits), nymphs or mature lice. Observing lice is difficult. Nymphs and mature lice, despite being unable to hop or jump, can move rapidly through dry hair. The use of a magnifying glass assists with diagnosis. […] Mature lice are 3-4 mm long. Nits are much smaller (about 1 mm). The pubic louse is about the same length as the head or body louse but has a wider body. […] Body lice can be found in any area of the body, although they tend to avoid the scalp, except at the margins. Nits are laid in the host’s clothing and are not usually found on the hair as with head lice and pubic lice. Body lice and eggs are found in clothing seams.
  • #36 Body Lice – Chicago Colorectal
    https://chicagocolorectal.com/patient-education/healthwise?DOCHWID=abr8713
    Body lice can cause very bad itching, especially at night. They can also cause sores in the armpits, waist, or torso. […] A doctor will ask about your symptoms and do a physical exam. The doctor will check your body and clothes for lice and their eggs (nits). They’ll also look for lice bites or sores where the seams of clothing press against the skin, such as the armpits, waist, or torso.
  • #37 Body lice | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/body-lice
    Body lice (Pediculus humanus corporis) are small blood-sucking insects that live on the body of infested humans and in their clothing or bedding, particularly the seams. […] The characteristics of a body louse bite include:A tiny red dot initially appears. The red dot rises into a small cyst-like lump or papule. The area becomes inflamed. The bite causes irritation and severe itching. Secondary infection can result from continuous scratching. […] Body lice are visible to the naked eye and occasionally a body louse can be seen crawling or feeding on the skin. Crawling lice can sometimes be seen in the seams of clothing or bedding.
  • #38 Body Lice | Disease Outbreak Control Division
    https://health.hawaii.gov/docd/disease_listing/body-lice-ukus/
    Body lice are small, usually pale- to grey-colored insects that live and reproduce in clothing worn by humans. The reactions to or results of louse feedings may be the first symptoms noted. Bites can cause itching at the feeding sites. Scratching may break the skin and lead to skin infections. Feeding sites may look like small, red dots on the skin. Body lice are known to transmit bacterial infections that cause three human diseases: louse-borne typhus (Rickettsia prowazeki), trench fever (Rochalimaea quintana), and louse-borne relapsing fever (Borrelia recurrentis). […] Body lice can be diagnosed by finding eggs and crawling lice in the seams of clothes. Sometimes a body louse can be seen crawling on skin during feeding.
  • #39 Lice – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/lice/symptoms-causes/syc-20374399
    Body lice that live in clothing and bedding and move onto the skin to feed. Body lice most often affect people who aren’t able to bathe or wash clothing often, such as homeless people. […] Common signs and symptoms of lice include: […] Intense itching on the scalp, body or in the genital area. […] The presence of lice on your scalp, body, clothing, or pubic or other body hair. Adult lice may be about the size of a sesame seed or slightly larger. […] Lice eggs (nits) on hair shafts. Nits may be difficult to see because they’re very tiny. They’re easiest to spot around the ears and the nape of the neck. Nits can be mistaken for dandruff, but unlike dandruff, they can’t be easily brushed out of hair. […] Sores on the scalp, neck and shoulders. Scratching can lead to small red bumps that can sometimes get infected with bacteria. […] Bite marks, especially around the waist, groin, upper thighs and pubic area.
  • #40 Body Lice Infestation: Symptoms and Treatments
    https://www.wikihow.com/Recognize-Body-Lice-Symptoms
    Body lice are tiny parasitic bugs that can infest your body and feed off of your blood. […] It can be hard to detect body lice on the surface of the skin, so you’ll need to look for other symptoms of an infestation, like itching and rashes. […] Common symptoms include: Intense itching that gets worse at night, Rashes on the skin, particularly the neck, armpit, groin, and waistline areas of the body, Tiny red spots or elevated bumps on the skin, Thickened or darkened skin. […] Irritations on the skin can be caused by bites or by repeated scratching—both could be indicators of body lice. […] Adult body lice are the same approximate size, shape, and color as a sesame seed. […] Mature lice cannot live longer than 5 to 7 days after falling off a host. […] Practicing good personal hygiene and regularly washing and drying your clothing on high heat settings are essential for getting rid of a body lice infestation.
  • #41 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The body louse (Pediculus humanus) is most often seen in cold climates, in poor sanitation and with overcrowding. […] Patients usually present after discovering lice or nits. Many lice infestations are asymptomatic. Pruritus is accompanied by excoriations that can become infected secondarily and papules linked to bite reactions. […] Diagnosis is based on seeing eggs (nits), nymphs or mature lice. Observing lice is difficult. Nymphs and mature lice, despite being unable to hop or jump, can move rapidly through dry hair. The use of a magnifying glass assists with diagnosis. […] Mature lice are 3-4 mm long. Nits are much smaller (about 1 mm). The pubic louse is about the same length as the head or body louse but has a wider body. […] Body lice can be found in any area of the body, although they tend to avoid the scalp, except at the margins. Nits are laid in the host’s clothing and are not usually found on the hair as with head lice and pubic lice. Body lice and eggs are found in clothing seams.
  • #42 Lice and Scabies: Treatment Update | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0515/p635.html
    Pruritus is the most common presenting symptom. […] Body lice infestation should be suspected in patients with pruritus who live in crowded conditions or have poor hygiene. […] The pruritus associated with pediculosis is a delayed hypersensitivity reaction, which may take four to six weeks to develop after the first exposure, with future exposures resulting in pruritus within one to two days. […] Intense pruritus leads to scratching, with subsequent excoriations and possible secondary cellulitis. […] Body lice should be suspected in patients with pruritus who live in crowded conditions or have poor hygiene.
  • #43 Symptoms of Lice & Scabies
    https://www.webmd.com/skin-problems-and-treatments/understanding-lice-scabies-symptoms
    Body lice: intense itching and rash. Sores may develop as a result of scratching. […] Symptoms may not occur for four to six weeks. Some people may have no symptoms.
  • #44 Lice and Scabies: Treatment Update | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0515/p635.html
    Pruritus is the most common presenting symptom. […] Body lice infestation should be suspected in patients with pruritus who live in crowded conditions or have poor hygiene. […] The pruritus associated with pediculosis is a delayed hypersensitivity reaction, which may take four to six weeks to develop after the first exposure, with future exposures resulting in pruritus within one to two days. […] Intense pruritus leads to scratching, with subsequent excoriations and possible secondary cellulitis. […] Body lice should be suspected in patients with pruritus who live in crowded conditions or have poor hygiene.
  • #45 Body Lice (Pediculosis): Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/17919-body-lice
    Symptoms of body lice bites include itchy and irritated skin and small, discolored bites. […] Body lice infestations (pediculosis) usually cause itchy skin and a skin rash at the site of louse bites. Some people don’t have any symptoms at all. Most people recover from body lice infestations without using medication. […] Common symptoms include: A tickling feeling on your skin. Itchy and irritated skin. Groups of small, discolored (red, purple, brown) dots or bites. They may grow bigger and develop a lighter discolored ring around the outside. […] More severe symptoms may include: Sores. Infections. […] If you have a long-term body lice infestation, or if lice heavily bite certain areas of your skin, your skin may thicken and get darker. […] Most people with body lice recover without medication. […] It may take up to two weeks for your body lice infestation to go away. Nits hatch in one to two weeks and can be killed through proper washing of clothing or bedding in hot water. Adult lice and nymphs will die in one to two days if they can’t feed on your blood.
  • #46 Body and Pubic Lice (Causes, Symptoms, and Treatment)
    https://patient.info/sexual-health/pubic-and-body-lice-leaflet
    Itching at night is common and usually occurs on the trunk, the armpits or the groin. This happens because body lice usually live in clothing during the day, only moving on to the skin when feeding on the person’s blood. As with pubic lice, there may be small red lumps and blue spots. […] Some people do not get any symptoms but notice the lice or nits on their body or clothes.
  • #47 Pediculosis (lice, head lice, body lice, pubic lice, cooties, crabs)
    https://www.health.ny.gov/diseases/communicable/pediculosis/fact_sheet.htm
    Usually, the first indication of an infestation is the itching or scratching in the area of the body where the lice feed. […] It may take as long as two to three weeks or longer for a person to notice the intense itching associated with this infestation. […] Pediculosis can be spread as long as lice or eggs remain alive on the infested person or clothing.
  • #48 Eyelash Lice (Crabs): Causes, Symptoms and Treatment
    https://www.allaboutvision.com/conditions/eyelash-lice/
    Eyelash lice can cause extreme itching, similar to that of pubic and head lice. The itching is the primary symptom of an infestation and is most noticeable at the root of the lash on the eyelid margin. […] Other symptoms of eyelash lice can include: eyelid irritation and inflammation, eye watering and tearing, red eyes, burning or gritty sensation, eyelashes that clump or stick together, dark spots at the base of the lashes. […] If you discover that you have eyelash lice, check your pubic hair and armpits for lice as well. Since eyelash lice are usually pubic (crab) lice, they have the following lifecycle: The lice eggs, called nits, take seven to 10 days to grow and then hatch into nymphs. The nymphs take two to three weeks to grow into adults that can reproduce. The adults can live for a month, and during that time a female will lay about 20 to 30 eggs.
  • #49 Body Lice Infestation: Symptoms and Treatments
    https://www.wikihow.com/Recognize-Body-Lice-Symptoms
    Body lice are tiny parasitic bugs that can infest your body and feed off of your blood. […] It can be hard to detect body lice on the surface of the skin, so you’ll need to look for other symptoms of an infestation, like itching and rashes. […] Common symptoms include: Intense itching that gets worse at night, Rashes on the skin, particularly the neck, armpit, groin, and waistline areas of the body, Tiny red spots or elevated bumps on the skin, Thickened or darkened skin. […] Irritations on the skin can be caused by bites or by repeated scratching—both could be indicators of body lice. […] Adult body lice are the same approximate size, shape, and color as a sesame seed. […] Mature lice cannot live longer than 5 to 7 days after falling off a host. […] Practicing good personal hygiene and regularly washing and drying your clothing on high heat settings are essential for getting rid of a body lice infestation.
  • #50 Body Lice (Pediculosis): Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/17919-body-lice
    Symptoms of body lice bites include itchy and irritated skin and small, discolored bites. […] Body lice infestations (pediculosis) usually cause itchy skin and a skin rash at the site of louse bites. Some people don’t have any symptoms at all. Most people recover from body lice infestations without using medication. […] Common symptoms include: A tickling feeling on your skin. Itchy and irritated skin. Groups of small, discolored (red, purple, brown) dots or bites. They may grow bigger and develop a lighter discolored ring around the outside. […] More severe symptoms may include: Sores. Infections. […] If you have a long-term body lice infestation, or if lice heavily bite certain areas of your skin, your skin may thicken and get darker. […] Most people with body lice recover without medication. […] It may take up to two weeks for your body lice infestation to go away. Nits hatch in one to two weeks and can be killed through proper washing of clothing or bedding in hot water. Adult lice and nymphs will die in one to two days if they can’t feed on your blood.
  • #51 Lice – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/lice/symptoms-causes/syc-20374399
    Body lice that live in clothing and bedding and move onto the skin to feed. Body lice most often affect people who aren’t able to bathe or wash clothing often, such as homeless people. […] Common signs and symptoms of lice include: […] Intense itching on the scalp, body or in the genital area. […] The presence of lice on your scalp, body, clothing, or pubic or other body hair. Adult lice may be about the size of a sesame seed or slightly larger. […] Lice eggs (nits) on hair shafts. Nits may be difficult to see because they’re very tiny. They’re easiest to spot around the ears and the nape of the neck. Nits can be mistaken for dandruff, but unlike dandruff, they can’t be easily brushed out of hair. […] Sores on the scalp, neck and shoulders. Scratching can lead to small red bumps that can sometimes get infected with bacteria. […] Bite marks, especially around the waist, groin, upper thighs and pubic area.
  • #52 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #53 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #54 Lice bites: Pictures, identification, and treatment
    https://www.medicalnewstoday.com/articles/322691
    Body lice are between 2.3-3.6 mm in length and tan or gray in color. They live in bedding and clothing and crawl onto the skin several times a day to feed. […] People with body lice may experience itching and rashes if they have allergic reactions to the bites. Some thickening or discoloration of the skin may also occur after prolonged periods of infestation. […] Body lice most often spread through close contact with infected individuals. Body lice are more common in areas with overcrowding and poor hygiene. Body lice can carry bacterial diseases, including typhus, relapsing fever, and trench fever, though these conditions are rare, except in areas where people live together in unsanitary conditions.
  • #55 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #56 Body Lice | Disease Outbreak Control Division
    https://health.hawaii.gov/docd/disease_listing/body-lice-ukus/
    Body lice are small, usually pale- to grey-colored insects that live and reproduce in clothing worn by humans. The reactions to or results of louse feedings may be the first symptoms noted. Bites can cause itching at the feeding sites. Scratching may break the skin and lead to skin infections. Feeding sites may look like small, red dots on the skin. Body lice are known to transmit bacterial infections that cause three human diseases: louse-borne typhus (Rickettsia prowazeki), trench fever (Rochalimaea quintana), and louse-borne relapsing fever (Borrelia recurrentis). […] Body lice can be diagnosed by finding eggs and crawling lice in the seams of clothes. Sometimes a body louse can be seen crawling on skin during feeding.
  • #57 Lice bites: Pictures, identification, and treatment
    https://www.medicalnewstoday.com/articles/322691
    Body lice are between 2.3-3.6 mm in length and tan or gray in color. They live in bedding and clothing and crawl onto the skin several times a day to feed. […] People with body lice may experience itching and rashes if they have allergic reactions to the bites. Some thickening or discoloration of the skin may also occur after prolonged periods of infestation. […] Body lice most often spread through close contact with infected individuals. Body lice are more common in areas with overcrowding and poor hygiene. Body lice can carry bacterial diseases, including typhus, relapsing fever, and trench fever, though these conditions are rare, except in areas where people live together in unsanitary conditions.
  • #58 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Usually, no drug is used to eliminate body lice because body lice are in clothing and linens and not the person. Doctors treat a person’s symptoms and recommend replacing or decontaminating affected clothing and linens by thorough laundering or dry cleaning. It is best to expose these items to heat of at least 149 F (65 C) during drying.
  • #59 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The mainstay of treatment for body lice involves laundering clothing and bedding in hot water and bathing regularly. Drug treatment (eg, malathion or permethrin) is required in large-scale infestations. […] The body louse acts as a vector for bartonellosis, epidemic typhus and relapsing fever. […] Treatments are very effective in killing nymphs and mature lice but less effective in killing eggs. Appropriate therapy produces a cure in more than 90% of cases.
  • #60 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Usually, no drug is used to eliminate body lice because body lice are in clothing and linens and not the person. Doctors treat a person’s symptoms and recommend replacing or decontaminating affected clothing and linens by thorough laundering or dry cleaning. It is best to expose these items to heat of at least 149 F (65 C) during drying.
  • #61 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The mainstay of treatment for body lice involves laundering clothing and bedding in hot water and bathing regularly. Drug treatment (eg, malathion or permethrin) is required in large-scale infestations. […] The body louse acts as a vector for bartonellosis, epidemic typhus and relapsing fever. […] Treatments are very effective in killing nymphs and mature lice but less effective in killing eggs. Appropriate therapy produces a cure in more than 90% of cases.
  • #62 Lice // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/lice
    Common signs and symptoms of lice include: […] Body lice may be diagnosed if they find eggs or crawling lice in clothing seams or on bedding. You can see a body louse on skin if it crawls there to feed. […] If you have body lice, first bathe with soap and water. After bathing, apply permethrin (Nix) to the affected areas before bedtime and then shower in the morning. Repeat this treatment nine days after the first application.
  • #63 Lice // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/lice
    Common signs and symptoms of lice include: […] Body lice may be diagnosed if they find eggs or crawling lice in clothing seams or on bedding. You can see a body louse on skin if it crawls there to feed. […] If you have body lice, first bathe with soap and water. After bathing, apply permethrin (Nix) to the affected areas before bedtime and then shower in the morning. Repeat this treatment nine days after the first application.
  • #64 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #65 Body lice Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/body-lice.html
    A person affected by body lice often has itching, which is an allergic reaction to their saliva. The reaction to the bites may appear as small welt-like marks and, possibly, redness and swelling, particularly around the neck and on the torso. A heavy, long-lasting infestation may produce a darkening and thickening of the skin, fatigue and other symptoms. Scratching the bites can lead to infection. […] Once body lice are eliminated, the skin irritation and other symptoms go away quickly.
  • #66 Patient Basics: Body Lice | 2 Minute Medicine
    https://www.2minutemedicine.com/patient-basics-body-lice/
    Body lice are small, parasitic insects found mainly on the clothing of infested people, and occasionally on their bodies or bedding. […] An infestation with body lice often causes intense itching, which is an allergic reaction to their saliva. The reaction to the bites may appear as small welt-like marks and, possibly, redness and swelling, particularly around the neck and on the torso. A heavy, long-lasting infestation may produce a darkening and thickening of the skin, fatigue and other symptoms. Scratching the bites can lead to infection. […] Once body lice are eliminated, the skin irritation and other symptoms go away quickly.
  • #67 Body Lice (Pediculosis): Symptoms, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/17919-body-lice
    Symptoms of body lice bites include itchy and irritated skin and small, discolored bites. […] Body lice infestations (pediculosis) usually cause itchy skin and a skin rash at the site of louse bites. Some people don’t have any symptoms at all. Most people recover from body lice infestations without using medication. […] Common symptoms include: A tickling feeling on your skin. Itchy and irritated skin. Groups of small, discolored (red, purple, brown) dots or bites. They may grow bigger and develop a lighter discolored ring around the outside. […] More severe symptoms may include: Sores. Infections. […] If you have a long-term body lice infestation, or if lice heavily bite certain areas of your skin, your skin may thicken and get darker. […] Most people with body lice recover without medication. […] It may take up to two weeks for your body lice infestation to go away. Nits hatch in one to two weeks and can be killed through proper washing of clothing or bedding in hot water. Adult lice and nymphs will die in one to two days if they can’t feed on your blood.
  • #68 17 Lice Symptoms with Pictures: Signs That You Have Head Lice – My Lice Advice
    https://myliceadvice.com/lice-symptoms-signs-pictures/
    There are, on rare occasions, people whose bodies respond to lice as if they had a systemic infection, such as the flu. […] The symptoms of lice can last for another week after lice is gone, because the symptoms are a reaction to the lice bites/lice saliva, which takes some time to resolve, but most people continue to have lice symptoms after treatment with over-the-counter products because lice are immune to those products.
  • #69 Body Lice | Cigna
    https://www.cigna.com/knowledge-center/hw/medical-topics/body-lice-abr8713
    Body lice can cause very bad itching, especially at night. They can also cause sores in the armpits, waist, or torso. […] A doctor will check your body and clothes for lice and their eggs (nits). They’ll also look for lice bites or sores where the seams of clothing press against the skin, such as the armpits, waist, or torso. […] Scratching can cause sores which can lead to an infection. It may help to use an over-the-counter anti-itch cream to calm the itching. If the itching is really bad, ask the doctor about an over-the-counter antihistamine.
  • #70 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The mainstay of treatment for body lice involves laundering clothing and bedding in hot water and bathing regularly. Drug treatment (eg, malathion or permethrin) is required in large-scale infestations. […] The body louse acts as a vector for bartonellosis, epidemic typhus and relapsing fever. […] Treatments are very effective in killing nymphs and mature lice but less effective in killing eggs. Appropriate therapy produces a cure in more than 90% of cases.
  • #71 Lice Infestation – Skin Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/skin-disorders/parasitic-skin-infections/lice-infestation
    Body lice usually infest people who have poor hygiene, people who are living in cramped, crowded conditions (such as military barracks), and places with communal beds. Body lice live on clothing and bedding that are in contact with the skin, not on people. These lice are spread by sharing contaminated clothing and bedding. Unlike head lice, body lice sometimes transmit serious diseases such as typhus, trench fever, and relapsing fever. […] Lice infestation usually causes severe itching in the infested area. […] Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection. These symptoms are especially common on the shoulders, buttocks, and abdomen. […] All of these louse treatments are repeated in 7 to 10 days to kill newly hatched lice. Lice have started to become resistant to drugs and may be hard to kill. Ivermectin is usually given by mouth if lice resist standard treatment.
  • #72 Pubic and Body Lice | Doctor
    https://patient.info/doctor/pubic-and-body-lice-pro
    The mainstay of treatment for body lice involves laundering clothing and bedding in hot water and bathing regularly. Drug treatment (eg, malathion or permethrin) is required in large-scale infestations. […] The body louse acts as a vector for bartonellosis, epidemic typhus and relapsing fever. […] Treatments are very effective in killing nymphs and mature lice but less effective in killing eggs. Appropriate therapy produces a cure in more than 90% of cases.
  • #73 Pediculosis Corporis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482148/
    Pediculosis corporis is a skin condition caused by body lice (Pediculus humanus corporis) that feed on human blood. Body lice are parasitic insects that feed on human blood. The most significant difference between body and head lice is the distinct ability of body lice to transmit the bacterial diseases of trench fever, relapsing fever, and epidemic typhus to humans. Body lice infestations can involve thousands of mites, each biting an average of 5 times daily. Bites of the body louse can produce a variety of skin lesions, and severe pruritus is thought to be due to an allergic or inflammatory reaction to the louse’s saliva. The primary symptom of body lice infestations is severe pruritus. The dermatologic findings in body lice infestation vary but include pyoderma, erythematous macules, wheals, and hemorrhagic puncta. In chronic body lice infestation, frequently bitten areas of the skin can develop notable thickening and discoloration, a condition known as vagabonds disease. Dermatologic findings tend to be most prominent in areas where clothing seams are in contact with the skin, such as the waist, groin, thighs, and axillary folds. Infestation with body lice is typically diagnosed by finding eggs and lice in seams of clothing rather than on the skin. The prognosis for eradicating body lice infestation is excellent if patients shower regularly and have weekly access to laundered clothing and bedding. Significant morbidity and mortality are associated with louse-borne diseases but can be reduced substantially with early recognition and appropriate antibiotic therapy.
  • #74 Body Lice: Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-body-lice
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] See your doctor if improved hygiene doesn’t eliminate the infestation, or if you develop a skin infection from scratching the bites. […] Body lice infestations usually cause minimal problems. However, a body lice infestation sometimes leads to complications such as secondary infections. When body lice scratch and dig to feed on your blood, they may irritate your skin. If you scratch to alleviate itching, this also can irritate your skin. If your skin becomes raw from these irritations, other infections may develop. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin, or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever, or trench fever.
  • #75 Body lice | Altru Health System
    https://www.altru.org/health-library/conditions/body-lice
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] See your doctor if improved hygiene doesn’t remove the infestation, or if you develop a skin infection from scratching the bites. […] Body lice infestations usually cause minimal problems. However, a body lice infestation sometimes leads to complications such as secondary infections. When body lice scratch and dig to feed on your blood, they may irritate your skin. If you scratch to relieve itching, this also can irritate your skin. If your skin becomes raw from these irritations, other infections may develop. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever or trench fever.
  • #76 Body lice | Altru Health System
    https://www.altru.org/health-library/conditions/body-lice
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] See your doctor if improved hygiene doesn’t remove the infestation, or if you develop a skin infection from scratching the bites. […] Body lice infestations usually cause minimal problems. However, a body lice infestation sometimes leads to complications such as secondary infections. When body lice scratch and dig to feed on your blood, they may irritate your skin. If you scratch to relieve itching, this also can irritate your skin. If your skin becomes raw from these irritations, other infections may develop. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever or trench fever.
  • #77 Body Lice: Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-body-lice
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] See your doctor if improved hygiene doesn’t eliminate the infestation, or if you develop a skin infection from scratching the bites. […] Body lice infestations usually cause minimal problems. However, a body lice infestation sometimes leads to complications such as secondary infections. When body lice scratch and dig to feed on your blood, they may irritate your skin. If you scratch to alleviate itching, this also can irritate your skin. If your skin becomes raw from these irritations, other infections may develop. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin, or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever, or trench fever.
  • #78 Pubic lice symptoms and treatment | Be in the KNOW
    https://www.beintheknow.org/hiv-and-stis/stis/pubic-lice-symptoms-and-treatment
    If you have pubic lice you may experience intense itching in your genital region which can spread to other areas with course body hair. It can be several weeks before any symptoms appear. […] Symptoms for women and men include: […] itching the most common symptom and usually worse at night when the lice are most active […] inflammation and irritation caused by scratching […] black powder in your underwear […] blue spots or small spots of blood on your skin, such as on your thighs or lower abdomen (caused by lice bites). […] Occasionally, a pubic lice infestation can lead to minor complications. These include skin or eye problems. Scratching can lead to an infection such as impetigo (a bacterial skin infection) or furunculosis (boils on the skin). […] Eye infections and eye inflammation can sometimes develop if your eyelashes have been infested with pubic lice. Eyelash infestations are rare though. If your eyelashes are infested, seek specialist advice from a healthcare professional. […] Untreated, long-standing infestations can cause you to feel generally unwell.
  • #79 Lice vs. Fleas: Pictures, Symptoms, Treatments & Prevention
    https://www.medicinenet.com/lice_vs_fleas/article.htm
    Head lice cause intense itching or tickling feeling in the hair. It is usually worse at night when the lice are most active. The lice themselves may be visible, or you may recognize the nits (eggs) attached to hair shafts. On the body, lice also cause severe itching and may cause a red rash as an allergic reaction. If the lice have been present for some time, the skin may thicken or become dark. Pubic lice cause a similar reaction in the genital areas. […] Body lice are usually managed by washing the body well along with any personal belongings that could be contaminated. […] The prognosis for lice and fleas is good. Scratching or irritation of the affected areas can sometimes lead to complications like skin and soft tissue infections. However, lice infestations and fleabites are treatable and typically do not cause any long-term problems.
  • #80 Mayo Clinic Health Library – Body lice | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20154560
    Body lice bites can cause intense itching, and you may notice small areas of blood and crust on your skin at the site of the bite marks. […] If you’re infested with body lice for a long time, you may experience skin changes such as thickening and discoloration particularly around your waist, groin or upper thighs. […] Body lice can carry and spread some bacterial diseases, such as typhus, relapsing fever or trench fever.
  • #81 Lice – IAFFLice – IAFF
    https://www.iaff.org/infectious-disease/diseases/lice/
    Intense itching is the main symptom. The lice, and symptoms, are typically found: along the scalp, at the waistband, in the armpits, at the bra strap, or anywhere clothing is tighter and closer to the body. […] The signs and symptoms of lice may include: Intense itching, Red bumps on skin, Areas where skin has been excessively scratched, Tiny white specks (eggs, or nits) on the bottom of hair shafts that are hard to remove, Itching may persist for 2 to 4 weeks after lice have been removed. […] One complication of pediculosis results from the intense itching that leads to scratching of the skin. Once the skin is scratched, small cuts form and can become infected with bacteria. […] Body lice are known to spread epidemic typhus, trench fever, and louse-borne relapsing fever in conditions of unrest where good hygiene is not possible, such as war.
  • #82 Body Lice Symptoms, Treatment | Picture of Eggs (Nits)
    http://www.livingwithbugs.com/body_lice.html
    Itching and rash are common symptoms of body lice bites. […] Body lice infestations have also been associated with a form of typhus called epidemic, or louse-borne typhus, which is caused by the bacterium Rickettsia prowazeki. Symptoms of epidemic typhus include severe headache, a high fever, cough, rash, muscle pain, chills, falling blood pressure, stupor, sensitivity to light, and delirium. In addition, chronic body lice infestations, alone, can lead to malaise and feeling „lousy”.
  • #83 Lice – IAFFLice – IAFF
    https://www.iaff.org/infectious-disease/diseases/lice/
    Intense itching is the main symptom. The lice, and symptoms, are typically found: along the scalp, at the waistband, in the armpits, at the bra strap, or anywhere clothing is tighter and closer to the body. […] The signs and symptoms of lice may include: Intense itching, Red bumps on skin, Areas where skin has been excessively scratched, Tiny white specks (eggs, or nits) on the bottom of hair shafts that are hard to remove, Itching may persist for 2 to 4 weeks after lice have been removed. […] One complication of pediculosis results from the intense itching that leads to scratching of the skin. Once the skin is scratched, small cuts form and can become infected with bacteria. […] Body lice are known to spread epidemic typhus, trench fever, and louse-borne relapsing fever in conditions of unrest where good hygiene is not possible, such as war.
  • #84 Lice bites: Pictures, identification, and treatment
    https://www.medicalnewstoday.com/articles/322691
    Body lice are between 2.3-3.6 mm in length and tan or gray in color. They live in bedding and clothing and crawl onto the skin several times a day to feed. […] People with body lice may experience itching and rashes if they have allergic reactions to the bites. Some thickening or discoloration of the skin may also occur after prolonged periods of infestation. […] Body lice most often spread through close contact with infected individuals. Body lice are more common in areas with overcrowding and poor hygiene. Body lice can carry bacterial diseases, including typhus, relapsing fever, and trench fever, though these conditions are rare, except in areas where people live together in unsanitary conditions.
  • #85 Pediculosis Corporis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482148/
    Pediculosis corporis is a skin condition caused by body lice (Pediculus humanus corporis) that feed on human blood. Body lice are parasitic insects that feed on human blood. The most significant difference between body and head lice is the distinct ability of body lice to transmit the bacterial diseases of trench fever, relapsing fever, and epidemic typhus to humans. Body lice infestations can involve thousands of mites, each biting an average of 5 times daily. Bites of the body louse can produce a variety of skin lesions, and severe pruritus is thought to be due to an allergic or inflammatory reaction to the louse’s saliva. The primary symptom of body lice infestations is severe pruritus. The dermatologic findings in body lice infestation vary but include pyoderma, erythematous macules, wheals, and hemorrhagic puncta. In chronic body lice infestation, frequently bitten areas of the skin can develop notable thickening and discoloration, a condition known as vagabonds disease. Dermatologic findings tend to be most prominent in areas where clothing seams are in contact with the skin, such as the waist, groin, thighs, and axillary folds. Infestation with body lice is typically diagnosed by finding eggs and lice in seams of clothing rather than on the skin. The prognosis for eradicating body lice infestation is excellent if patients shower regularly and have weekly access to laundered clothing and bedding. Significant morbidity and mortality are associated with louse-borne diseases but can be reduced substantially with early recognition and appropriate antibiotic therapy.
  • #86 Body louse – Wikipedia
    https://en.wikipedia.org/wiki/Body_louse
    Since an infestation can include thousands of lice, with each of them biting five times a day, the bites can cause strong itching, especially at the beginning of the infestation, that can result in skin excoriations and secondary infections. […] If an individual is exposed to a long-term infestation, they may experience apathy, lethargy and fatigue.
  • #87 Lice – IAFFLice – IAFF
    https://www.iaff.org/infectious-disease/diseases/lice/
    Itching and skin rash from the immune system response to the mite are the most common symptoms. If a person has never had scabies before, symptoms may take as long as 4-6 weeks to begin. It is important to remember that an infested person can spread scabies during this time, even if he/she does not have symptoms yet. In a person who has had scabies before, symptoms usually appear much sooner (1-4 days) after exposure. […] Improved hygiene and access to regular changes of clean clothes is the only treatment needed for body lice infestations.