Centipedes have between 15 and 100 body segments. The first segment bears claws with venom glands at their bases. The venom is primarily used to kill prey and contains a complex mixture of proteins, histamine, and serotonin that is not well studied.
Centipede stings typically cause severe, burning pain, local swelling, redness, pruritus, and lymphadenopathy. Systemic symptoms include nausea, vomiting, headache, palpitations, and anxiety. Hemorrhagic vesicles, ulceration, and local necrosis can occur at the sting site. Death is rare, with only 3 reported cases in the literature. Proteinuria, rhabdomyolysis, a case of myocardial ischemia, and another case of myocardial infarction have also been reported.
T63.411A – Toxic effect of venom of centipedes and venomous millipedes, accidental, initial encounter
217677005 – Poisoning due to centipede venom
Differential Diagnosis & Pitfalls