[Cimex hemipterus] [Cimex lectularius]
The two species of bed bugs (Insecta: Hemiptera: Cimicidae) usually implicated in human infestations are Cimex lectularius and C. hemipterus. Although rare, humans may become incidental hosts of Cimex species of bats and birds.
Adults and all nymphal stages of Cimex spp. need to take blood meals from warm-blooded hosts, which are typically humans for C. lectularius and C. hemipterus, although other mammals and birds can be utilized in the absence of a human host. Female bed bugs lay about five eggs daily throughout their adult lives in a sheltered location (mattress seams, crevices in box springs, spaces under baseboards, etc). Eggs hatch in about 4-12 days into first instar nymphs which must take a blood meal before molting to the next stage. The bugs will undergo five nymphal stages (, , , , ), each one requiring a blood meal before molting to the next stage, with the fifth stage molting into an adult . Nymphs, although lacking wing buds, resemble smaller versions of the adults. Nymphs and adults take about 5-10 minutes to obtain a full blood meal. The adults may take several blood meals over several weeks, assuming a warm-blooded host is available. Mating occurs off the host and involves a unique form of copulation called ‘traumatic insemination’ whereby the male penetrates the female’s abdominal wall with his external genitalia and inseminates into her body cavity. Adults live 6-12 months and may survive for long periods of time without feeding.
Cimex lectularius is cosmopolitan in distribution; C. hemipterus is distributed in the tropics and sub-tropics
Although bed bugs have been found naturally-infected with blood-borne pathogens, they are not effective vectors of disease. The primary medical importance is inflammation associated with their bites (due to allergic reactions to components in their saliva)
The inflammatory reaction to the bites is not diagnostic specifically for bed bugs, and confirmation of a bed bug bite or infestation is best achieved by identification of adults or nymphs collected in sheltered areas near where the patient was bitten. Bed bugs possess stink glands and emit a distinctive odor; homes or motel/hotel rooms with heavy infestations may have this odor.
DPDx is an educational resource designed for health professionals and laboratory scientists. For an overview including prevention, control, and treatment visit www.cdc.gov/parasites/.