If the site of the tick bite develops a red, swollen, spreading area, seek medical help to check for Lyme disease. If it is more than 72 hours since tick removal, an antibiotic will not be effective. If an attached tick is seen and you live in a region where Lyme disease is prevalent, call your child’s medical provider, as an antibiotic at this stage will be helpful in preventing Lyme disease. A deep blue or purple area around the bite, often with a surrounding white area and a red outer ring.If a black widow or brown recluse spider bite is suspected, apply ice to the area and seek medical help. Some insect bites / stings are more dangerous than others. Similarly, the bite of a brown recluse spider may cause a marked skin reaction after a few hours, with redness, pain, blistering, and ulcers forming, as well as fever, nausea, and fatigue. The black widow spider may cause only a mild local reaction at the bite site, but pain, stiffness, chills, fever, nausea, and abdominal pain may follow within a few hours. Fever, hives, and painful joints (although these reactions are not as common).Severe reactions such as facial swelling, difficulty breathing, and shock (anaphylaxis).Bedbugs prefer the arms, legs, chest, and face, often biting several times in the same area and leaving a group of lesions.Ĭommon reactions to insect stings include: Using a bright light may help show any subtle color changes.įlying insects tend to choose exposed areas not covered by clothing, while some bugs (such as fleas) focus on the lower legs. In darker skin colors, the redness may be harder to see. In lighter skin colors, the bites and stings may be faint pink or red. Some insects, such as fire ants, are known to cause painful, itchy pustules (pus-filled bumps). In some situations and in some locations, such as the lower leg or shin, bullae (fluid-fille blisters larger than a thumbnail) can occur. Sometimes, vesicles (small fluid-filled blisters) may occur at the site of bites or stings. Insect bites usually occur on the skin as small, itchy, red papules (small, solid bumps). If you suspect this sort of allergy in your child, you should discuss it with their medical provider they may need to carry a special sort of medicine that can be injected in case of emergency to reverse the allergic reaction. An allergic reaction to a bite or sting may be fatal. Where the bite occurs on the body can help determine what kind of insect was involved flying insects tend to bite the head and torso, while jumping insects, such as fleas, tend to bite the feet and legs.Ī very small portion of the population is allergic to the bite or sting of some common insects, such as wasps and bees, and the allergic person will experience a severe reaction, including hives (raised welts) all over their body, itchiness, trouble breathing and swallowing, and unconsciousness. People with more sensitive skin will often have a more dramatic reaction (eg, more redness or a bigger bump), but the bite is still usually harmless. The person who has experienced the bite or sting usually develops some pain, redness, or itchiness at the site that goes away within hours to days. Most bites and stings from insects (arthropods) are painful or itchy but harmless. Pediatric Arthropod Bite or Sting: Symptoms and Treatment
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