Objectives: This case series describes new clinical features of Rove beetle dermatitis
Methods: Interviews were conducted with four students at University Sains Malaysia with current or past Rove beetle skin infections. Information on the onset of symptoms, complication, treatment and duration of symptoms were recorded. A physician at a local clinic was also interview to describe the challenges in diagnosis and therapy for this condition.
Results: This case series describes new features of Rove beetle dermatitis. Redness, swelling, fatigue and localised stretching of the skin were the commonly reported symptoms. However, vibrations, twitching of the skin and difficulty in breathing were new features observed in this study. Three of the four patients were not aware of the aetiology of the condition, antibiotics and topical steroids were prescribed for the management and prevention of secondary infection.
Conclusion: Rove beetle dermatitis is a common seasonal endemic in Malaysia, with a higher incidence in the month of September and March. This case series highlights the need for a health literacy program, aimed at informing the public and medical practitioners about the aetiology, symptoms and complications of this infection.