My eldest daughter, the 2 year old (2yo), got bitten alive the night before last. She had at least 20 mozzie bites all over her body. I suspect it was a brown mosquito (/es). They tend to bite more, and are bigger and faster than the mosquitos you see in the height of summer. It’s not the first time she’s got bitten, she gets bit often, but its the first time she got so many at once and got a bad reaction. On one area of her leg the area around the bite became hard, red and very swollen. I searched online for information in English about mosquitoes and bites specific to Japan, to put my mind at rest until the morning, but alas I could find nothing specific to Japan… And so here I am, for the next poor English speaking parent fretting about a young child’s mosquito bites in Japan.
I brought 2yo to the pharmacist this morning, to get some treatment and also to get a professional opinion on whether a trip to the Doctor was necessary. She appears to have skeeter syndrome, which is a reaction some children get to a bite resulting in red hard swelling. He checked that the bite areas didn’t have a “fever”, which I found out later can be an indicator of complications from a bite. He gave me a cream and advised me to bring her to the Doctor in three days if there is no change or a change for the worse in her bites.
The cream he gave me is エンクロン軟膏EX (Enkuron Ointment Ex) by Shiseido. It contains Prednisolone valerate acetate which I understand to be a type of hydrocortisone. It also contains antihistamines, including diphenhydramine which my research has indicated is in line with treatment for a severe reaction in many other countries. Below is a photo of the bite after just one application of the cream.
I also talked to the pharmacist about likely complications from the bite. He assured me that the mosquitoes in most parts of Japan do not carry illnesses that are a threat to humans. He said that cases of Japanese encephalitis are extremely rare in this part of Japan. This is in line with what my kids paediatrician told me on a previous occasion. He also told me it is highly unlikely that she will develop a delayed reaction of swelling in another part of her body, such as the throat. I felt a lot more at ease after talking to him, I will be keeping a close eye on 2yo for the next few days.