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Field Guide to Venomous and Medically Important Invertebrates ...

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Although bites of kissing bugs normally are intentional for the purpose of feeding, the bites from<br />

the preda<strong>to</strong>ry assassin bugs (Subfamilies Harpac<strong>to</strong>rinae, Reduviinae) are entirely defensive <strong>and</strong><br />

usually received after accidentally contacting or h<strong>and</strong>ling these bugs. Assassin bug bites are<br />

extremely painful <strong>and</strong> the pain may last for a few hours. In general, initial pain often is followed<br />

by residual pain <strong>and</strong> numbness that can last for several days. The afflicted area often becomes<br />

reddened <strong>and</strong> hot <strong>to</strong> the <strong>to</strong>uch, but later may become white <strong>and</strong> hardened at the puncture area.<br />

Subsequently, the hardened core of the wound may slough off, leaving a small hole at the<br />

puncture site. Healing time varies from about two weeks up <strong>to</strong> 6 months in some cases,<br />

especially in hypersensitive people. The most commonly recognized assassin bug in North<br />

America is the wheel bug, Arilus cristatus, but several closely related species of wheel bugs<br />

occur throughout Central <strong>and</strong> South America. Other species of assassin bugs are distributed<br />

worldwide. Among these is the masked hunter, Reduvius personatus, of North America which<br />

sometimes bites humans. Due <strong>to</strong> the red <strong>and</strong> black coloration of this species <strong>and</strong> a tendency for<br />

it <strong>to</strong> bite on the face, it is sometimes incorrectly identified as a kissing bug. Assassin bugs do not<br />

transmit any known diseases pathogens <strong>to</strong> humans. Treatment of bites from assassin bugs can<br />

include ice packs, <strong>to</strong>pical corticosteroids, systemic antihistamines, <strong>and</strong> antibiotics for secondary<br />

infections.<br />

Figure 89. Wheel bug (Arilus cristatus), Texas. Pho<strong>to</strong>: David Bowles <strong>and</strong> Mark Pomerinke.<br />

Figure 90. Wheel bug (Arilus sp.), Panama. Pho<strong>to</strong>: David Bowles <strong>and</strong> Mark Pomerinke.<br />

Figure 91. Masked hunter (Reduvius personatus). Pho<strong>to</strong>: W. Müller.<br />

Figure 92. Assassin bug (Zelus bilobus): Pho<strong>to</strong>: Clemson University/USDA.<br />

Treatment of kissing bug bites includes use of cool compresses <strong>and</strong> mild analgesics <strong>to</strong> relieve the<br />

itching. Occasionally, patients who are hypersensitive <strong>to</strong> kissing bug bites may develop severe

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