Kissing bug or assassin bug bite

Overview

Kissing bugs feed at night and often bite near the lips or eyes.

Most U.S. bites don't spread Chagas, but testing may be advised.

Symptoms

Common signs:

• Itchy bite on face
• Bug bite or sting

Less common

• Swelling

Look up a symptom: Bug bite or sting · Red spot, bump, or patch on the skin · Swollen or puffy eyelid or eye

When to get medical care

Causes

Kissing bugs.

Who is more likely to get it

• Southern U.S.

Possible complications

• Chagas disease: Some kissing bugs carry the parasite
• Anaphylaxis (severe allergic reaction): Rare, but can happen with bites

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Treatment

Treatment depends on the cause and how severe it is.

Self-care

• Wash
• Anti-itch cream
• Seal cracks and use bed nets in risk areas

Prevention

To lower your risk or prevent problems:

• Keep pets indoors at night

Which doctor treats this

• Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.

Back to school, work, or sports

• Most people can go to school or work. Keep the wound clean and covered.
• Avoid pools and hot tubs until the skin heals.

Children, pregnancy, and older adults

• Southern U.S. residents: Most exposure.

Outlook

Bites heal in days.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• What's causing this?
• What treatment do you recommend?
• Should I be tested for Chagas?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Kissing bug or assassin bug bite