Quantcast Insect bites or stings may be associated with large circular areas of swelling; the raw areas on the left lesion are probably due to scratching. Some patients react to insect bites with large, fluid-filled blisters.  On people with darker skin, inflammation and redness from insect bites can appear as red-brown-colored lesions. Insect bites or bug bites can cause localized redness and itching.  An insect bite can cause a lot of swelling in the thin skin around the eye. An insect bite can also become blistered. Two insect bites are shown on this foot; note that the larger one has a tiny central crust where the insect bit. Insect bites often have small blisters that dry and crust. This image displays a child with two insect bites with variable swelling on the hands. Bites from insects often lead to itch, scratching, and resulting crusts. Bug bites often cause hive-like (urticarial), swollen lesions.
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Bug Bite or Sting (Pediatric):
A parent's guide to condition and treatment information

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Picture of Bug Bite or Sting (Pediatric): Insect bites or stings may be associated with large circular areas of swelling; the raw areas on the left lesion are probably due to scratching. Divider line
Insect bites or stings may be associated with large circular areas of swelling; the raw areas on the left lesion are probably due to scratching.
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Signs and Symptoms
Insect bites usually appear as small, itchy, red bumps, occasionally with a blister. Some insects, such as fire ants, can cause a painful and itching raised area containing pus (a pustule).

Flying insects tend to bite exposed areas not covered by clothing, while some bugs (such as fleas) focus on the lower legs. Bedbugs prefer the head and neck area, often biting several times in the same area and leaving a group of lesions.

Common reactions to arthropod stings include:
  • Redness, pain, and swelling
  • Severe reactions such as facial swelling, difficulty breathing, and shock
    (anaphylaxis)
  • Fever, hives, and painful joints (although these reactions are not as common)
Very few spiders cause severe reactions. The black widow spider may cause only a mild reaction at the bite site, but pain, stiffness, chills, fever, nausea, and abdominal pain may follow within a few hours. Similarly, the brown recluse spider causes a severe skin reaction after a few hours, with redness, pain, blistering, and ulcers forming, as well as fever, nausea, and fatigue.
Last Modified: 25 Jan 2008
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