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Unknown biting Arthropod

Unknown biting Arthropod
Charleston, Charleston County, South Carolina, USA
July 8, 2019
Recovered from a dermatology patient’s skin. Patient complained of itching/being bitten. No one else in household affected. No improvement with permethrin or first dose of ivermectin. Any thoughts/guidance appreciated!

Maybe someone knows now

Not an expert
I'm genuinely interested in finding out what that is- I think it might be a chigger. That's not an official ID though or anything.

Well I consulted with local entomologist and parasitologist, and their best guess was actually the head of an ant... not uncommon to have patients complain of “bugs” crawling and biting them with no physical evidence of Arthropods or bites. This one is thought to be incidental finding. No further insect parts were identified after sifting through several bags of “specimens” presented by patient.

Please tell us what that is if anyone knows probably a chigger

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