Body Lice
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The body louse (''Pediculus humanus humanus'', also known as ''Pediculus humanus corporis'') or the cootie is a hematophagic
ectoparasite Parasitism is a Symbiosis, close relationship between species, where one organism, the parasite, lives (at least some of the time) on or inside another organism, the Host (biology), host, causing it some harm, and is Adaptation, adapted str ...
louse Louse (: lice) is the common name for any member of the infraorder Phthiraptera, which contains nearly 5,000 species of wingless parasitic insects. Phthiraptera was previously recognized as an order (biology), order, until a 2021 genetic stud ...
that infests humans. It is one of three lice which infest humans, the other two being the
head louse The head louse (''Pediculus humanus capitis'') is an obligate parasite, obligate parasitism, ectoparasite of humans. Head lice are wingless insects that spend their entire lives on the human scalp and feed exclusively on human blood. Humans are ...
, and the crab louse or pubic louse. Body lice may lay eggs on the host's hairs and clothing, but clothing is where the majority of eggs are usually secured. Since body lice cannot jump or fly, they spread by direct contact with another person or more rarely by contact with clothing or bed sheets that are infested. Body lice are disease vectors and can transmit pathogens that cause human diseases such as
epidemic typhus Epidemic typhus, also known as louse-borne typhus, is a form of typhus so named because the disease often causes epidemics following wars and natural disasters where civil life is disrupted. Epidemic typhus is spread to people through contact wit ...
, trench fever, and
relapsing fever Relapsing fever is a vector-borne disease caused by infection with certain bacteria in the genus '' Borrelia'', which is transmitted through the bites of lice, soft-bodied ticks (genus '' Ornithodoros''), or hard-bodied ticks (Genus Ixodes). ...
. In developed countries, infestations are only a problem in areas of poverty where there is poor body hygiene, crowded living conditions, and a lack of access to clean clothing. Outbreaks can also occur in situations where large groups of people are forced to live in unsanitary conditions. These types of outbreaks are seen globally in prisons, homeless populations, refugees of war, or when natural disasters occur and proper sanitation is not available.


Life cycle and morphology

''Pediculus humanus humanus'' (the body louse) is indistinguishable in appearance from ''Pediculus humanus capitis'' (the
head louse The head louse (''Pediculus humanus capitis'') is an obligate parasite, obligate parasitism, ectoparasite of humans. Head lice are wingless insects that spend their entire lives on the human scalp and feed exclusively on human blood. Humans are ...
), and the two subspecies will interbreed under laboratory conditions. In their natural state, however, they occupy different habitats and do not usually meet. They can feed up to five times a day. Adults can live for about thirty days, but if they are separated from their host they will die within two days. If the conditions are favorable, the body louse can reproduce rapidly. After the final molt, female and male lice will mate immediately. A female louse can lay up to 200–300 eggs during her lifetime. The life cycle of the body louse consists of three stages: egg, nymph, and adult. # Eggs (also called nits, see head louse nits) are attached to the clothes or hairs by the female louse, using a secretion of the accessory glands that holds the egg in place until it hatches, while the nits (empty egg shells) may remain for months on the clothing. They are oval and usually yellow to white in color and at optimal temperature and humidity, the new lice will hatch from the egg within 6 to 9 days after being laid. # A nymph is an immature louse that hatches from the egg. Immediately after hatching it starts feeding on the host's blood and then returns to the clothing until the next blood-meal. The nymph will molt three times before the
adult An adult is an animal that has reached full growth. The biological definition of the word means an animal reaching sexual maturity and thus capable of reproduction. In the human context, the term ''adult'' has meanings associated with social an ...
louse emerges. The nymph usually takes 9–12 days to develop into an adult louse. # The adult body louse is about 2.5–3.5 mm long, and like a nymph it has six legs. It is wingless and is tan to grayish-white in color. The two ''P. humanus''
subspecies In Taxonomy (biology), biological classification, subspecies (: subspecies) is a rank below species, used for populations that live in different areas and vary in size, shape, or other physical characteristics (Morphology (biology), morpholog ...
are morphologically quite identical. Their heads are short with two antennae that are split into five segments each, compacted thorax, seven segmented abdomen with lateral paratergal plates.


Origins

The body louse diverged from the head louse around 107,000 years ago, establishing the latest date for the adoption of clothing by humans.Archive
/ref> Body lice were first described by
Carl Linnaeus Carl Linnaeus (23 May 1707 – 10 January 1778), also known after ennoblement in 1761 as Carl von Linné,#Blunt, Blunt (2004), p. 171. was a Swedish biologist and physician who formalised binomial nomenclature, the modern system of naming o ...
in the 10th edition of ''
Systema Naturae ' (originally in Latin written ' with the Orthographic ligature, ligature æ) is one of the major works of the Sweden, Swedish botanist, zoologist and physician Carl Linnaeus (1707–1778) and introduced the Linnaean taxonomy. Although the syste ...
''. The human body louse had its
genome A genome is all the genetic information of an organism. It consists of nucleotide sequences of DNA (or RNA in RNA viruses). The nuclear genome includes protein-coding genes and non-coding genes, other functional regions of the genome such as ...
sequenced in 2010, and at that time it had the smallest known insect genome. The body louse belongs to the phylum
Arthropod Arthropods ( ) are invertebrates in the phylum Arthropoda. They possess an arthropod exoskeleton, exoskeleton with a cuticle made of chitin, often Mineralization (biology), mineralised with calcium carbonate, a body with differentiated (Metam ...
a, class
Insect Insects (from Latin ') are Hexapoda, hexapod invertebrates of the class (biology), class Insecta. They are the largest group within the arthropod phylum. Insects have a chitinous exoskeleton, a three-part body (Insect morphology#Head, head, ...
a, order
Psocodea Psocodea is a taxonomic group of insects comprising the bark lice, book lice and parasitic lice. It was formerly considered a superorder, but is now generally considered by entomologists as an order. Despite the greatly differing appearance of ...
and family Pediculidae. There are roughly 5,000 species of lice described, with 4,000 parasitizing birds and an additional 800 special parasites of mammals worldwide. Lice on mammals originate on a common ancestor that lived on
Afrotheria Afrotheria ( from Latin ''Afro-'' "of Africa" + ''theria'' "wild beast") is a superorder of placental mammals, the living members of which belong to groups that are either currently living in Africa or of African origin: golden moles, elephan ...
that originally acquired it from via host-switching from an ancient avian host.


Signs and symptoms

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.


Treatment

In principle, body louse infestations can be controlled by periodically changing clothes and bedding. Thereafter, clothes, towels, and bedding should be washed in hot water (at least ) and dried using a hot cycle. The itching can be treated with topical and systemic
corticosteroid Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones. Two main classes of corticosteroids, glucocorticoids and mineralocorticoids, are invo ...
s and
antihistamine Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provides ...
s. In case of secondary infections, antibiotics can be used to control the bacterial infection. When regular changing of clothes and bedding is not possible, the infested items could be treated with
insecticide Insecticides are pesticides used to kill insects. They include ovicides and larvicides used against insect eggs and larvae, respectively. The major use of insecticides is in agriculture, but they are also used in home and garden settings, i ...
s.


Diseases caused

Unlike other species of lice, body lice can act as vectors of disease. The most important pathogens which are transmitted by them are '' Rickettsia prowazekii'' (causes
epidemic typhus Epidemic typhus, also known as louse-borne typhus, is a form of typhus so named because the disease often causes epidemics following wars and natural disasters where civil life is disrupted. Epidemic typhus is spread to people through contact wit ...
), '' Borrelia recurrentis'' (causes
relapsing fever Relapsing fever is a vector-borne disease caused by infection with certain bacteria in the genus '' Borrelia'', which is transmitted through the bites of lice, soft-bodied ticks (genus '' Ornithodoros''), or hard-bodied ticks (Genus Ixodes). ...
), and '' Bartonella quintana'' (causes trench fever). Epidemic typhus can be treated with one dose of
doxycycline Doxycycline is a Broad-spectrum antibiotic, broad-spectrum antibiotic of the Tetracycline antibiotics, tetracycline class used in the treatment of infections caused by bacteria and certain parasites. It is used to treat pneumonia, bacterial p ...
, but if left untreated, the fatality rate is 30%. Relapsing fever can be treated with
tetracycline Tetracycline, sold under various brand names, is an antibiotic in the tetracyclines family of medications, used to treat a number of infections, including acne, cholera, brucellosis, plague, malaria, and syphilis. It is available in oral an ...
and depending on the severity of the disease, if left untreated it has a fatality rate between 10 and 40%. Trench fever can be treated with either doxycycline or
gentamicin Gentamicin is an aminoglycoside antibiotic used to treat several types of bacterial infections. This may include bone infections, endocarditis, pelvic inflammatory disease, meningitis, pneumonia, urinary tract infections, and sepsis amo ...
, if left untreated the fatality rate is less than 1%.


See also

* List of parasites of humans


References


External links


Body and head lice
on the UF/ IFAS Featured Creatures Web Site {{Authority control Ectoparasites Insects described in 1758 Lice Parasitic arthropods of humans Taxa named by Carl Linnaeus