Cheyletiellosis B88.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cheyletides; cheyletiella dermatitis; Cheyletiella dermatitis; Cheyletiellainfection; Cheyletiellosis; Fur mite infestation

History
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Lomholt, 1918

Definition
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Worldwide occurring mite disease of the Cheyletiellidae family, which is transmissible from animal to human, whose primary hosts are small mammals. S.a.among mites.

Pathogen
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Cheyletiella (fur mites), 5 species (in dog, cat, rabbit, hare). Fur mites are permanent ectoparasites of mammals that do not bury themselves in the skin. The mites are 0.5 mm in size, they are whitish in colour and have stinging mouth limbs. If the domestic animals are heavily infested, the fur can appear mealy and whitish due to the masses of nits that are stuck on them.

Classification
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Of importance for humans are:

  • Cheyletiella parasitivorax (rabbit)
  • Cheyletiella yasguri (dogs)
  • Cheyletiella blakei (cats)
  • Cheyletiella furmani (rabbit)
  • Cheyletiella strandmanni (rabbits)

Localization
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Stem, chest area, groin region - often where there has been intensive contact with the sick pet.

Clinical features
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Irregularly distributed, sometimes also grouped, urticarial or maculopapular, rarely vesicular, strongly itchy efflorescences at contact points. Significant increase in itching with bed heat.

Diagnosis
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Detection of eggs and mites in the fur of domestic animals by removal by means of Sellotape (pathogens stick to the Sellotape strip); strip is stuck on a slide and examined nativ-histologically.

General therapy
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Spontaneous healing within 1-3 weeks, as mites can only survive for a few days in the absence of a human host (female mites for a maximum of 10 days).

Infested animals and their roost should be treated with insecticides, e.g. with acaricide (veterinary treatment).

External therapy
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To accelerate the healing process Externa containing glucocorticoids such as 1% hydrocortisone lotio, e.g. R123 or, if necessary, the more effective 0.1% hydrocortisone-17-butyrate cream (e.g. Laticort®).

Bland therapy with Lotio alba can also be helpful.

Only in cases of persistent itching the alternating combination of a glucocorticoid externum with an acaricide (e.g. from the group of pyrethroids e.g. 5% permethrin cream) is recommended.

Internal therapy
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In case of severe itching antihistamines such as Desloratadine (Aerius 1-2 tbl/day) or Fexofenadine (Telfast 1 tbl/day), if necessary internal treatment with Ivermectin 0.2-0.3 mg/kg bw p.o. as ED. Repeat the one-time therapy 3 times in intervals of 14 days.

Progression/forecast
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Spontaneous healing within 1-3 weeks.

Note(s)
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It is important to treat the infected animals, as there is a risk of reinfection.

Literature
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  1. Jovanovic S et al (2003) Exposition and sensitisation to indoor allergens, house dust mite allergen and cat allergens. Healthcare 65: 457-463
  2. Mamali K et al (2014) Cheyletiella dermatitis. Nude Dermatol 40: 92-94
  3. Wagner R, stable master N (2000) Cheyletiella dermatitis in humans, dogs and cats. Br J Dermatol 143: 1110-1112

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020