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Centipede and Millipede Bites

By

Robert A. Barish

, MD, MBA, University of Illinois at Chicago;


Thomas Arnold

, MD, Department of Emergency Medicine, LSU Health Sciences Center Shreveport

Last full review/revision May 2020| Content last modified May 2020
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Topic Resources

Some of the larger centipedes can inflict a painful bite, causing swelling and redness. Symptoms rarely persist for more than 48 hours. (See also Introduction to Bites and Stings Introduction to Bites and Stings Many creatures, including humans, bite when frightened or provoked. Others include Alligators and crocodiles Iguanas Mites Ticks read more .)

Millipedes do not bite but may secrete a toxin that is irritating, causing burning and itching of the skin and, particularly when accidentally rubbed into the eye, causing redness, swelling, and pain of the conjunctiva or the cornea.

An ice cube wrapped in plastic and a thin cloth and placed on a centipede bite usually relieves the pain.

Toxic secretions of millipedes should be washed from the skin with large amounts of soap and water. If a skin reaction develops, a corticosteroid cream should be applied.

Eye injuries should be flushed with water (irrigated) immediately.

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Fractures of the Jaw and Midface
Fractures to one or more facial structures can result from a single injury. Jaw fractures may occur to the mandible, or lower jaw, or to the maxilla, bone of the upper jaw. Other structures susceptible to fracture include the eye sockets, nose, and cheek bones. Which of the following facial structures is most likely to fracture if a person falls from a great height or hits the windshield of a car face-first during a motor vehicle accident?
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