Symptoms of a centipede bite include :
- Swelling (in the area of bite)
- Numbness at the site of bite
- Local pruritis
- Nausea and vomiting
- Occasionally vesicles or blisters 
- Swollen lymph nodes (rare)
If the patient develops an allergic reaction to the bite, the following symptoms may also be found:
Entire Body System
Abstract Centipede bites have been reported to cause localized and/or systemic symptoms including local pain, erythema and edema, nausea and vomiting, palpitations, headache, lymphadenopathy, and rhabdomyolysis. [ncbi.nlm.nih.gov]
Symptoms which are most likely to develop include: severe pain, which is usually proportional to the size of the centipede. swelling and redness skin necrosis Local bleeding swollen, painful lymph nodes in the regions of the bitten limb headache palpitations [en.wikipedia.org]
Symptoms which are most likely to develop include: severe pain, which is usually in proportion to the size of the centipede swelling and redness swollen, painful lymph nodes in the regions of the bitten limb headache palpitations or a racing pulse nausea [research.omicsgroup.org]
Nausea and vomiting Occasionally vesicles or blisters Swollen lymph nodes (rare) If the patient develops an allergic reaction to the bite, the following symptoms may also be found: Tachypnea Difficulty in breathing Tachycardia Flushed face Chest pain Palpitations [symptoma.com]
Symptoms for those more sensitive to the venom’s effects may also include headache, chest pain, heart tremors, nausea and vomiting. Victims from centipede bites are often gardeners. [orkin.com]
However, typical chest pain became the major complaint and cardiopulmonary arrest developed while electrocardiography was being obtained. [ncbi.nlm.nih.gov]
pain Palpitations Throat swelling Hypotension Anaphylactic shock (extremely rare) Workup consists of a detailed history and physical examination. [symptoma.com]
An ECG may be conducted in patients with a past history of heart disease. Test Results Usually, only a detailed history is enough to make a diagnosis as patients more often than not spot the centipede in their surrounding area. [symptoma.com]
[ISSN: Print -0975-3583, Online - 0976-2833] is a double-blind peer-reviewed, open access international circulating professional journal led by a group of research scientists, vascular disease experts and cardiologists coming from North America, Asia [jcdronline.org]
This wound may be susceptible to local ulcerations and necrosis. Severe bite from larger species may cause a dangerous and life-threatening anaphylaxis if not treated. Infections may also occur. [en.wikipedia.org]
A hornet’s bite is similar to that of a centipede in a sense that it will create a rash and produce an ulcer, as well as cause physical discomfort. [ic.steadyhealth.com]
This wound may be susceptible to local ulcerations and necrosis. A severe bite from a large centipede on a child, senior or person with a weakened heart can cause heart attack if untreated. This is exceptionally rare. [research.omicsgroup.org]
This wound may be susceptible to local ulcerations and necrosis. Severe bite from larger species may cause a dangerous and life-threatening anaphylaxis if not treated. This may lead to complications such as infections. [en.m.wikipedia.org]
She explained that it is just a sign of post inflammatory hyperpigmentation. In summation, don't get bit by a centipede, it hurts like crazy and can take a while to heal. [medhelp.org]
Workup consists of a detailed history and physical examination.
- Complete blood count
- Serum Ag-Ab test
- Aspiration of pus, if present
- Urinalysis for proteinurea (to check for rhabdomyolysis)
Imaging studies are usually not required. An ECG may be conducted in patients with a past history of heart disease.
Usually, only a detailed history is enough to make a diagnosis as patients more often than not spot the centipede in their surrounding area.
Ice compresses/Heat packs
Local injectable anaesthetics such as lidocaine may be administered, or common systemic analgesics such as NSAIDS (ibuprofen, naproxen, mefenamic acid, etc) may be given. Once pain has been treated, antibiotics may be given as prophylactic treatment. Prophylactic treatment by antibiotics, however, is not routinely performed in clinical practice unless there are signs of infection.
A booster tetanus shot can be given.
If signs and symptoms of an allergic reaction are present, antihistamines may be given.
The majority of bites are not life threatening to humans and present the greatest risk to children and those who develop allergic reactions . Symptoms usually last fewer than 48 hours .
In the english medical literature, only two cases of acute coronary syndrome after centipede envenomation have been reported .
Complications of a centipede bite are extremely rare. They may include the following:
A centipede bite results when a centipede stings a human being resulting in piercing of the skin. Centipedes are active and carnivorous and some species can inflict intensely painful bites, which are followed by edema, lymphangitic and necrosis . Smaller centipedes usually do not puncture human skin .
The incidence of centipede bites is not known.
It has no prevalence in a particular sex.
Centipede bites are more common in some areas of South America and Africa.
Clinically, the wound is viewed as a cutaneous condition characterised by paired hemorrhagic marks that form a chevron shape caused by the large paired forcipules of the centipede .
When skin is penetrated, the centipede venom enters the system and results in a local tissue inflammatory response. The area of the bite becomes very painful, erythematous and swollen. It may also get slightly numb. Once the inflammatory cascade has abated, the swelling may gradually go down. Redness and pain fade with time as well.
If the affected person is hypersensitive, an allergic response may ensue. This may present with symptoms of an allergic reaction, as mentioned in later sections.
A centipede bite can be easily prevented by taking precautionary measures such as wearing protective boots and gloves during gardening, camping and other such activities. Good sanitary conditions are also advised.
Centipedes are a predominantly carnivorous taxon . They belong to the phylum Arthropoda and have around 8000 known species. Their limbs, or maxillipeds, end in sharp claws and include venom glands that help the animal to kill or paralyse its prey .
A centipede bite is a wound that occurs when a medium-to-large sized centipede bites a human, such that skin is pierced.
Symptoms and Signs
Centipede bites have been reported to cause constitutional and systemic symptoms .
Signs of an allergic reaction may sometimes develop. If this occurs, visit to a nearby hospital or clinic is advised.
Treatment includes application of ice compresses/heat packs to reduce swelling, analgesics to reduce pain and treating the wound with antiseptic cream. If an allergic reaction seems to be occurring, it is advised that you should head for the nearest clinic or hospital.
Centipede bites can be prevented by taking precautionary measures such as wearing protective boots, coats/jackets and gloves during gardening, camping, and other such activities.
- Lewis, JGE. (2007). The Biology of Centipedes. Cambridge University Press. ISBN 978-0-521-03411-1.
- Barnes, Robert D. (1982). Invertebrate Zoology. Philadelphia. Pa: Holt-Saunders International. pp 810-816. ISBN 0-03-056747-5.
- Keegan HL. In: Venomous and Poisonous Animals and Noxious Plants of the Pacific Region. Ed. Keegan HL, MacFarlane WV. Oxford, Pergamon. (1963). p196.
- Sean P. Bush, Bradley O. King, Robert L. Norris and Scott A. Stockwell. Centipede Envenomation. Wilderness and Environmental Medicine 2001 12 (2):93-99.
- James, William D. Berger, Timothy G, et al. (2006). Andrew's Diseases of the Skin: Clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
- Otten EJ. Venomous Animal Injuries. Marz JA, ed. Rosen's Emergency Medicine- Concepts and Clinical Practice. 8th ed. Philadelphia, Pa: Saunders Elsevier;2013:Chap 62.
- Yildiz A, Biceroglu S, Yakut N, Bilir C, Akdemir R, Akilli A. Acute Myocardial Infarction in a Young Man caused by Centipede Sting. Emerg Med J. 2006;23:e30.
- Steen CJ, Schwartz RA. Arthropod Bites and Stings. In: Wolff K, Goldsmith LA, Katz SI, et al, eds. Fitzpatrick's Dermatology in General Medicine. 7th ed. New York, NY: McGraw-Hill;2008:chap 210.
- Veraldi S, Chiaratti A, Sica L. Centipede Bite: a case report. Arch Dermatol. July 2010;146(7):807-8
- Lin TJ, Yang CC, Yang GY, Ger J, Tsai WJ, Deng JF. Features of centipede bites in Taiwan. Trop Geogr Med. 1995;47:300-2