Chigger bite in Adult
Chigger infestation is caused by the mite larvae. Mites lay their eggs on leaves and tall grasses, and when the larva hatches from the egg, it begins its search for a host. Chiggers are parasites that attach to a variety of hosts, such as birds, reptiles, and small mammals as well as humans. The larvae do not penetrate the skin but remain attached by inserting their piercing mouthparts. They feed by injecting digestive enzymes into the bite wound and then sucking up the digested tissue fluid. The digestive enzymes secreted by the mite larvae triggers the immune response in the host to produce the intensely pruritic "chigger bite."
Pruritus does not begin until 3-24 hours later, and papules may persist for up to 3 weeks. Mites are red and so small that even after biting, they are barely visible to the human eye. Chiggers do not stay attached for long and fall off or die within hours. The itching may last for several days after the chigger is killed or drops off. The number of new eruptions may increase for 2 days.
Chiggers are widely distributed throughout the world. In the United States, they are located in the southeastern and south central states. Chiggers are important vectors of scrub typhus in Asia. Chiggers can also serve as vectors of viral hemorrhagic fever and hantavirus.
Summer penile syndrome is seasonal penile swelling that occurs in children, typically in the summer months of June through September. It represents a hypersensitivity response to chigger bites.
B88.0 – Other acariasis
402157004 – Dermatosis due to harvest mite
Differential Diagnosis & Pitfalls