Why is my foot and leg extremely swollen? what to do after a black fly bite

A black fly or blackfly (sometimes called a buffalo gnat, turkey gnat, or white socks) is any member of the family Simuliidae of the Culicomorpha infraorder. It is related to the Ceratopogonidae, Chironomidae, and Thaumaleidae. Over 2,200 species of black flies have been formally named, of which 15 are extinct. They are divided into two subfamilies: Parasimuliinae contains only one genus and four species; Simuliinae contains all the rest. Over 1,800 of the species belong to the genus Simulium.

Most black flies gain nourishment by feeding on the blood of mammals, including humans, although the males feed mainly on nectar. They are usually small, black or gray, with short legs, and antennae. They are a common nuisance for humans, and many U.S. states have programs to suppress the black fly population. They spread several diseases, including river blindness in Africa (Simulium damnosum and S. neavei) and the Americas (S. callidum and S. metallicum in Central America, S. ochraceum in Central and South America).

Only four genera in the family Simuliidae, Simulium, Prosimulium, Austrosimulium, and Cnephia, contain species that feed on people, though other species prefer to feed on other mammals or on birds. Simulium, the type genus, is the most widespread and is a vector for several diseases, including river blindness.

Mature adults can disperse tens or hundreds of miles from their breeding grounds in fresh flowing water, under their own power and assisted by prevailing winds, complicating control efforts. Swarming behavior can make outdoor activities unpleasant or intolerable, and can affect livestock production. During the 18th century, the "Golubatz fly" (Simulium colombaschense) was a notorious pest in central Europe. Even non-biting clouds of black flies, whether composed of males or of species that do not feed on humans or do not require a blood meal before egg laying, can form a nuisance by swarming into orifices.

Bites are shallow and accomplished by first stretching the skin using teeth on the labrum and then abrading it with the maxillae and mandibles, cutting the skin and rupturing its fine capillaries. Feeding is facilitated by a powerful anticoagulant in the flies' saliva, which also partially numbs the site of the bite, reducing the host's awareness of being bitten and thereby extending the flies' feeding time. Biting flies feed during daylight hours only and tend to zero in on areas of thinner skin, such as the nape of the neck or ears and ankles.

Itching and localized swelling and inflammation sometimes result from a bite. Swelling can be quite pronounced depending on the species and the individual's immune response, and irritation may persist for weeks. Intense feeding can cause "black fly fever", with headache, nausea, fever, swollen lymph nodes, and aching joints; these symptoms are probably a reaction to a compound from the flies' salivary glands. Less common severe allergic reactions may require hospitalization.

(Source: Wikipedia)

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