Tag: rashes

Fire Ant Bites

A classic fire ant mound popping out of a nice green lawn.
A classic fire ant mound popping out of a nice green lawn. Photo by Bart Drees.

Are you worried about your kids getting bit by fire ants?

If not, then you don’t live in Alabama, Florida, Georgia, Louisiana, Mississippi, or Texas, where they have been around for a while.

Fire Ants

Fire ants are thought to have been imported on ships into Mobile, Alabama from South America. They have continued to spread ever since, lately making it as far as eastern New Mexico, the southern half of Oklahoma, and parts of California.

Like imported killer bees, fire ants are more aggressive than native ants.

Many of us get annoyed when we see large fire ant mounds pop up in our yards after it rains, but it can be really concerning one or more fire ants bite or sting your child.

Symptoms of Fire Ant Bites

While many insects bite, it is the classic behavior of fire ants that can make their bites so much worse.

When disturbed, fire ants emerge aggressively, crawling up vertical surfaces, biting and stinging “all at once”.

Texas Imported Fire Ant Research and Management Project

In a typical situation, a toddler or preschooler steps on a fire ant mound in the yard, and before you know it, dozens of fire ants are covering their feet and legs. Or they fall onto the mound, with the fire ants all over their hands and arms.

As you scramble to move your child and get the ants off (quickly rub them off with a cloth or your own hand), they will likely all start stinging.

Multiple fire ant bites on a child's hand.
Multiple fire ant bites on a child’s hand. Photo by the Texas Department of Agriculture.

Fortunately, very few people are allergic to fire ant stings, which might trigger a whole body reaction, with dizziness, shortness of breath, and hives, etc.. The redness, swelling, and white-yellow pustule at the site of the bite are usually the normal symptoms of a local reaction to the fire ant venom.

The pustules go away over a few days to weeks. There is no need to pop or try to drain them. In fact, popping them might lead to their getting infected. It’s better to leave them alone.

After you are bit, it is going to hurt or burn for a few minutes too – that’s why they are called fire ants.

How do you treat fire ant bites?

After you remove the ants, basic first aid and treatment for fire ant bites might include washing the area with soap and then using a cool compress, oral antihistamines, and topical steroids to treat itching.

And of course, seek immediate medical attention if your child is having an allergic reaction to the bites or if it appears that the bites are later getting infected, with increased pain and swelling when you would think that they should be improving.

What To Know About Fire Ant Bites

Although fire ant bites are rarely dangerous or life-threatening, your best bet in protecting your kids is to get rid of any fire ants in your yard and in other places that they play. You might also encourage your kids to wear shoes (not sandals or Crocs) and socks when walking or playing outside.

For More Information on Fire Ant Bites

What to Know About Fifth Disease

Fifth disease, also called erythema infectiosum, is a very common viral infection that most kids get in early childhood.

It got its name because it was the fifth disease that was known to cause a fever and rash.

Measles was the first.

Symptoms of Fifth Disease

Fifth disease can cause a child to look like they have slapped cheeks.
Fifth disease can cause a child to look like they have slapped cheeks. Photo by Dr. Philip S. Brachman

It is caused by parvovirus B19.

Symptoms start with a red rash on your child’s cheek, giving them the appearance that they have been slapped. And that’s where fifth disease’s other name comes from – slapped cheek disease.

This slapped cheek rash is often subtle, so that many parents might think that the rash is from the sun or wind. They often don’t even consider that their child might be ‘sick’ until a few days later, when they get a pink, lacy rash on their arms and legs. Even then, they might mistake the rash for hives, poison ivy, or any number of other common childhood rashes.

Diagnosis of Fifth Disease

Unless you understand that the fifth rash can come and go, being more obvious when your child is overheated, it can be easy to see why it isn’t quickly recognized by some people. It can also be confusing because the rash could also appear on a child’s back, chest, and leg – it doesn’t have to be limited to the cheeks and arms.

And the rash, which can be itchy, can linger for weeks or even months.

While a blood test can be done, it is this pattern of symptoms that makes the diagnosis.

Most importantly, understand that fifth disease eventually does goes away without treatment. While not usually necessary, anti-itch treatments may be tried.

Can your kids go to school with fifth disease?

Fortunately, kids are not contagious while they have this rash, so they can go to school and participate in other activities. You might need a note from your pediatrician to convince folks though. They were contagious during the week before they developed the rash though, so it can be a good idea to tell people, so they can look for symptoms too.

Facts About Fifth Disease

Other things to know about fifth disease include that:

  • Fifth disease is caused by the parvovirus B19 virus and is most common during the spring and school outbreaks are no uncommon.
  • The incubation period for fifth disease is very long – up to 4 to 21 days. That means you can get this virus about 4 to 21 days after being exposed to someone else that had it, especially if you were exposed to their respiratory secretions (coughing and sneezing) just before they developed their rash.
  • Prodromal symptoms of fifth disease, which can start 7 to 10 days before the rash, might include a few days of mild fever, muscle aches, headache and decreased activity.
  • In addition to a rash, adults with fifth disease can also have joint pain and arthritis.

It is also important to know that like roseola, fifth disease can be more serious for those with immune system problems. It can also be serious for pregnant women who aren’t immune and for those with hemolytic anemia and sickle cell disease.

What to Know About Fifth Disease

Fifth disease is a very common viral infection that causes a characteristic rash on a child’s cheeks, arms, and legs that can linger for weeks.

More Information About Fifth Disease