The initial contact of a bite may be painful. It’s often followed by an allergic reaction to venom deposited into your skin through the animal’s mouth or stinger. The appearance can vary.
Whether you’re in the water, on a mountain trail, or in your backyard, wildlife you encounter have ways of protecting themselves and their territory.
Insects, such as bees, ants, fleas, flies, mosquitoes, and wasps, and arachnids, such as spiders, ticks, and scorpions, may bite or sting if you get close. Most of these animals won’t bother you if you don’t bother them, but knowing what to look for is key.
Most bites and stings trigger nothing more than minor discomfort, but some encounters can be deadly, especially if you have severe allergies to the animal’s venom.
A severe allergic reaction can happen with any bug bite or sting, depending on the person. Venom allergies may cause a dangerous, severe allergic reaction in some people, resulting in swelling, generalized itching, and difficulty breathing.
Signs of an emergency
Anaphylaxis can be a life threatening emergency. If someone experiences signs of a severe allergic reaction, call 911 or your local emergency services. Anaphylaxis can cause symptoms, including rash, low pulse, and anaphylactic shock. This can be fatal if it isn’t treated immediately.
Prevention is the best medicine, so knowing how to recognize and avoid biting and stinging insects or arachnids is the best way to stay safe.
The animals you should recognize and understand depend very much on where you live or where you’re visiting. Different regions of the United States are home to many of these creatures.
The season also matters. For example, mosquitoes, stinging bees, and wasps tend to come out in full force during the summer.
- A mosquito bite is a small, round, puffy bump that appears soon after you’ve been bitten.
- The bump will become red, hard, swollen, and itchy.
- You may have multiple bites in the same area.
Fire ant stings
- Fire ants are small, aggressive, red or black venomous ants that bite and then deliver painful stings.
- Stings appear as swollen red spots that develop a blister on top.
- Stings burn, itch, and last up to a week.
- Flea bites are usually located in clusters on the lower legs and feet.
- The itchy, red bumps are surrounded by a red halo.
- Symptoms begin immediately after you’re bitten.
- The itchy rash is caused by an allergic reaction to the bedbug bite.
- The small rashes have red, swollen areas and dark red centers.
- Bites may appear in a line or grouped together, usually on areas of the body not covered by clothing, such as the hands, neck, or feet.
- There may be very itchy blisters or hives at the bite site.
- Painful, itchy rashes are caused by an inflammatory reaction at the site of the fly bite.
- Though usually harmless, they may lead to severe allergic reactions or spread insect-borne diseases.
- Take precautions when traveling to endemic countries by wearing long-sleeve shirts and pants and by using bug spray.
- Head lice, pubic lice (“crabs”), and body lice are different species of parasitic lice that affect humans.
- They feed on blood and cause an itchy immune reaction at the site of their bites.
- Adult lice are gray/tan six-legged insects about the size of a tiny sesame seed.
- Nits (eggs) and nymphs (baby lice) can only be seen as very tiny specks that may look like dandruff.
- Painful, itchy rashes may be caused by an immune response to the bites of tiny mite larvae.
- Bites appear as welts, blisters, pimples, or hives.
- Bites will generally appear in groups and are extremely itchy.
- Chigger bites may be grouped in skin folds or near areas where clothing fits tightly.
- Chiggers tend to jump from grass, so bites are usually on legs near the tops of socks.
- Bites can cause pain or swelling at the bite area.
- They may also lead to a rash, a burning sensation, blisters, or difficulty breathing.
- The tick often remains attached to the skin for a long time.
- Bites rarely appear in groups.
- Ticks can transfer diseases, including Lyme disease, babesiosis, and anaplasmosis.
- Symptoms caused by scabies mites may take 4 to 6 weeks to appear.
- The extremely itchy rash may be pimply, made up of tiny blisters, or scaly.
- They may cause raised, white, or flesh-toned lines.
This condition is considered a medical emergency, and 911 or local emergency services should be contacted. Urgent care may be required.
- Most spiders don’t pose a threat to humans, and in such cases, their bites are harmless or mildly irritating like a bee sting.
- Dangerous spiders include the brown recluse, black widow, funnel web spider (Australia), and wandering spider (South America).
- A single raised papule, pustule, or wheal may appear at the site of the bite followed by redness and tenderness.
- The bite will appear as two small puncture marks.
- Severe allergic reactions to a spider bite may require medical attention.
Brown recluse spider bite
- This is a shy, brown- or tan-colored spider with a violin-shaped patch and six paired eyes, two in the front and two sets of two on either side of the head.
- It likes to hide in quiet, dark places like closets and bookshelves and is native to the South and South Central regions of the United States.
- Nonaggressive, it will only bite humans if it’s being crushed between skin and a hard surface.
- Redness appears with a central, white blister at the site of the bite.
- Moderate to severe pain and itching at the site of the bite occurs 2 to 8 hours after the spider has injected its venom.
- Rare complications include fever, body aches, nausea, vomiting, hemolytic anemia, rhabdomyolysis, and kidney failure.
Black widow spider bite
This condition is considered a medical emergency, and 911 or local emergency services should be contacted. Urgent care may be required.
- This spider is plump, black, and shiny, with an hourglass-shaped red mark on its abdomen.
- It’s nonaggressive and will only bite if it’s being crushed.
- Bites cause muscle pain and spasms in the arms, legs, abdomen, and back.
- Tremor, sweating, weakness, chills, nausea, vomiting, and headache are other symptoms.
- The bite area is red with a white center.
Hobo spider bite
- The venom of this common household spider isn’t considered toxic to humans.
- Bites are generally harmless and cause only minor pain, swelling, and sometimes muscle twitches.
- A single red area appears with a tender central nodule.
- Itching, burning, or stinging may occur at the site of the bite.
Wolf spider bite
- This large (up to 2 inches long), fuzzy, gray/brown spider is native to many parts of the United States.
- Nonaggressive, it will bite if it feels threatened.
- A tender, itchy red bump appears that heals in 7 to 10 days.
- These large (1-inch long) blood-sucking flies are most active in the daylight hours.
- An instant, sharp burning sensation occurs when a horsefly bites.
- Itchiness, redness, swelling, and bruising may also occur at the bite location.
- Pain, redness, swelling, or itching occurs at the site of the sting.
- A white spot appears where the stinger punctured the skin.
- Unlike bumblebees and carpenter bees, honeybees can only sting once due to their barbed stinger that can remain in the skin.
Yellow jacket stings
- These thin wasps have black and yellow stripes and long dark wings.
- Aggressive, a yellow jacket may sting multiple times.
- Swelling, tenderness, itchiness, or redness may occur near the area that’s been stung.
- Sharp pain, redness, swelling, and itching or burning occurs at the sting site.
- A raised welt appears around the sting site.
- Wasps can be aggressive and are capable of stinging multiple times.
- Scorpions are eight-legged arachnids with large pincers and long, segmented, stinger-tipped tails carried in a forward curve over their backs.
- Many species with variable levels of toxicity can be found all over the world.
- Intense pain, tingling, numbness, and swelling occur around the sting.
- Rare symptoms include breathing difficulties, muscle twitching, drooling, sweating, nausea, vomiting, an increased heart rate, restlessness, and excitability.
- Severe symptoms are more likely in infants and children than adults.
Puss caterpillar stings
- Puss caterpillars may also be known as asp caterpillars, fire caterpillars, woolly slugs, or opossum bugs, and are the larvae of the flannel moth.
- They have venomous barbs on their bodies.
- They typically reside in the Southeast United States but have been found as far west as Florida and Texas.
- A string can cause skin irritation and itchiness, severe pain, and headache.
Kissing bug bites
- Triatomine bugs, also called kissing bugs, tend to bite people on the face or near the mouth.
- These bugs tend to reside in Mexico, Central America, South America, and parts of the United States.
- They carry a parasite called Trypanosoma cruzi and can T. cruzi infection and Chagas disease.
- While there are different varieties of kissing bugs, they typically have a cone-shaped head and a long, oval-shaped body with antennae and six legs. They can be light brown to black in color and may have yellow, red, or tan markings.
- Bite reactions may include mild itching, redness, and swelling. With a T. cruzi infection, a small hard area may form at the bite site.
Deer fly bites
- Deer flies have small, round heads, brownish-black bands on their wings, and gold or green eyes.
- Their bites can be painful and cause bumps or welts.
- Their bites can sometimes cause a rare bacterial disease known as rabbit fever (tularemia) that may cause skin ulcers, fever, and headache.
Here are some bugs that can be more dangerous than others.
Biting insects, arachnids, and other bugs
Many bugs bite, but only a few do so intentionally. Most bites are relatively harmless, leaving just an itchy patch of skin behind. But some bites can carry disease. Deer ticks, for example, typically carry Lyme disease.
Intentional biters include:
- chigger mites
- scabies mites
- head lice
- pubic lice
- black flies
- pus caterpillars
- kissing bugs
- deer flies
Many larger insects and other bugs won’t seek you out but will bite if handled.
Some spiders have venomous fangs. Venomous spiders found in the United States include:
Insects will sting humans only to defend against a perceived threat. Typically, a sting from a bee or stinging ant will be accompanied by a small amount of venom.
When injected into your skin, the venom causes most of the itching and pain associated with the sting. It can also cause an allergic reaction.
Common stinging insects in the United States include:
Scorpions have a reputation for stinging. Many species have barbed tails equipped with venom, some strong enough to kill a human.
The most venomous species of scorpion native to the United States is the Arizona bark scorpion.
The venom injected into your body from the bite or sting of an insect or arachnid will cause your immune system to respond. Often, your body’s immediate response will include redness and swelling at the bite or sting site.
Minor delayed reactions include itching and soreness.
If you’re very sensitive to an animal’s venom, bites and stings can cause a potentially fatal condition called anaphylactic shock. This can cause the throat to tighten and make breathing difficult or cause low blood pressure.
Anaphylactic shock is considered an emergency, and 911 or local emergency services should be contacted.
Some bites and stings may cause illnesses when venom contains infectious agents.
Anyone can be bitten or stung by an insect or arachnid, and bites and stings are very common. You’re at greater risk if you spend a lot of time outdoors, especially in rural or wooded locations.
Children and older adults may have more severe reactions to bites and stings.
If you’re bitten or stung, you may see or feel the animal on your skin during the attack. Some people don’t notice the animal and may not be aware of a bite or sting until one or more of the following symptoms emerge:
- redness or rash
- pain in the affected area or in the muscles
- heat on and around the site of the bite or sting
- numbness or tingling in the affected area
Symptoms of a severe reaction requiring immediate medical treatment include:
- difficulty breathing
- nausea or vomiting
- muscle spasms
- rapid heart rate
- swelling of the lips and throat
- loss of consciousness
If you feel ill or experience flu-like symptoms in the days following an insect or arachnid bite, see a doctor for tests to rule out infections or diseases you may have contracted from the animal.
While not every insect bite or sting can cause an infection or disease, some insects can transmit diseases this way.
These insects and the diseases they may transmit can include:
- Mosquitos: insect-borne diseases such as malaria, West Nile virus, dengue fever, yellow fever, and several viruses that cause encephalitis
- Fleas: bacterial infection, rarely
- Flies: insect-borne diseases
- Sand flies: leishmaniasis, a parasitic disease, though cases occur tropical and subtropical environments
- Lice: epidemic typhus, Bartonella quintana infection, and epidemic relapsing fever
- Chiggers: scrub typhus, though
most casesoccur in Southeast Asia, Indonesia, China, Japan, India, and northern Australia
- Ticks: tick-borne diseases such as Lyme disease, Rocky Mountain spotted fever, Colorado tick fever, tularemia, ehrlichiosis
- Kissing bugs: Chagas disease
- Deer flies: tularemia
Many people are aware they’ve been bitten or stung because they see the insect or arachnid shortly after the attack.
Although you shouldn’t further provoke an attacking insect or arachnid, try to preserve the animal if it dies following the bite or sting. Its identity may help a doctor properly diagnose your symptoms.
This is especially important for a spider bite, as some species have dangerously potent venom.
The majority of bites and stings can be treated at home, especially if your reaction is mild.
To treat a bite or sting:
- Remove the stinger if it’s lodged in your skin.
- Wash the affected area.
- Apply an ice pack to reduce pain and swelling.
You may also want to consider applying a thin paste of baking soda and water to the sting to calm the itching.
Call 911 or your local emergency services number immediately if symptoms of a severe reaction are present.
First aid instructions while waiting for paramedics to arrive include:
- loosening the victim’s clothing
- laying them on their side
- performing CPR if breathing or the heartbeat stops
If you believe a spider of the black widow or brown recluse variety has bitten you, contact 911 or local emergency services immediately even if symptoms seem minor or haven’t emerged.
Scorpion bites also should be treated as an emergency, and 911 or local emergency services should be contacted, regardless of symptoms.
Most bites and stings heal by themselves after several days of mild discomfort.
Monitor the affected site for signs of infection. Contact a doctor if the wound appears to be getting worse or hasn’t healed after several weeks.
Bites and stings that cause severe reactions can be fatal if they aren’t treated immediately.
Once you’ve experienced a severe allergic reaction, a doctor will likely prescribe an epinephrine auto-injector. Epinephrine is a hormone that can prevent anaphylactic shock.
Carry the auto-injector with you at all times to reverse the reaction immediately following a bite or sting.
Use caution when near nests or hives containing aggressive insects. Hire professionals who have the proper safety equipment to remove a nest or hive.
When spending time outside, take preventive measures, such as:
- wearing hats and clothing that provide full coverage
- wearing neutral colors and avoiding floral patterns
- avoiding perfume and scented lotion
- keeping food and drinks covered
- using citronella or insect repellent
permethrin on clothingto prevent black-legged tick bites
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