Kissing bugs (Triatoma) and the skin
Kissing bugs (Family Reduviidae) can be the source of nocturnal dermatologic wounds in the mid to southern latitudes in the United States. The insects are obligate blood feeders and though the bites may be asymptomatic, a variety of dermatologic eruptions or death from anaphylaxis can result. The various dermatologic forms of the bite can be mistaken for herpes zoster, erythema multiforme and the ubiquitous catch-all diagnoses of "spider-bite."Triatoma are predominantly nocturnal and feed off of a sleeping person's exposed human body parts.
Typically, they position themselves next to the recumbent human, rather than on top of the host, to feed with the proboscis being the only contacting body part. Subjects describe the bite of Triatoma as virtually painless with a slight tingling sensation.
In laboratory observations, the insects fed for 8 to 15 minutes on humans before repletion and interfeeding duration was typically 3 weeks. However, the insects were able to survive 3 to 6 months between meals.






