Arthropod Bites

  • Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka
Chapter

Abstract

A 26-year-old male presented to clinic with bites of unknown origin. These were determined to most likely be arthropod bites, although the exact offending insect was not certain. Arthropod bites are very common and can cause a range of symptoms with varying degrees of severity. Most bites present as distinct papular lesions which can be painful, stinging, or pruritic. Patient history and time of year can provide helpful clues to narrow down the culprit bug. Regardless of origin, uncomplicated insect bites typically respond to treatment with topical corticosteroids. Oral antihistamines may be used as adjunctive therapy for patients who experience severe pruritus. In the case of indoor bug bites, it may be necessary to hire an exterminator to remove any infestations.

Keywords

Bug bite Arthropod Spider Flea Tick Wasp Bee Sting Hymenoptera Mosquito Allergy Allergic Anaphylaxis Antihistamine Topical steroid 

References

  1. 1.
    Schwartz RA, Steen CJ. Chapter 210. Arthropod bites and stings [Internet]. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, editors. Fitzpatrick’s dermatology in general medicine. 8th ed. New York: McGraw-Hill; 2012. [cited 2015 Jan 21]. Available from: http://accessmedicine.mhmedical.com.ezproxy.cul.columbia.edu/content.aspx?bookid=392&Sectionid=41138941.Google Scholar
  2. 2.
    Juckett G. Arthropod bites. Am Fam Physician. 2013;88(12):841–7.PubMedGoogle Scholar
  3. 3.
    Baker TW, Forester JP, Johnson ML, Stolfi A, Stahl MC. The HIT study: Hymenoptera identification test—how accurate are people at identifying stinging insects? Ann Allergy Asthma Immunol. 2014;113(3):267–70.CrossRefPubMedGoogle Scholar
  4. 4.
    Ruëff F, Przybilla B, Biló MB, Müller U, Scheipl F, Aberer W, Birnbaum J, Bodzenta-Lukaszyk A, Bonifazi F, Bucher C, Campi P, Darsow U, Egger C, Haeberli G, Hawranek T, Körner M, Kucharewicz I, Küchenhoff H, Lang R, Quercia O, Reider N, Severino M, Sticherling M, Sturm GJ, Wüthrich B. Predictors of severe systemic anaphylactic reactions in patients with Hymenoptera venom allergy: importance of baseline serum tryptase-a study of the European Academy of Allergology and Clinical Immunology Interest Group on Insect Venom Hypersensitivity. J Allergy Clin Immunol. 2009;124(5):1047–54.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Danya Reich
    • 1
  • Corinna Eleni Psomadakis
    • 2
  • Bobby Buka
    • 3
  1. 1.Department of Family MedicineMount Sinai School of Medicine Attending Mount Sinai Doctors/Beth Israel Medical Group-WilliamsburgBrooklynUSA
  2. 2.School of Medicine Imperial College LondonLondonUK
  3. 3.Department of DermatologyMount Sinai School of MedicineNew YorkUSA

Personalised recommendations