
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
- 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)
- Itching
can be severe
- Itching can be generalized or restricted to a
skin rash
- Hives
- Swelling
only around a lesion (sore) or injury
- Skin folds such as under the breasts or in the groin
may be affected ( intertrigo
)
Note: Symptoms often begin suddenly (within hours).

Exams and Tests
No testing is necessary.

Treatment
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
.

Outlook (Prognosis)
Getting rid of fleas
can be difficult and takes persistence.

Possible Complications
Scratching can lead to a
secondary skin infection.

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: 10/17/2006
Reviewed By: Benjamin W. Van Voorhees,
MD
, MPH, Assistant Professor of Medicine and Pediatrics, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.
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