What parts of the body do ticks prefer to bite?

Woman examining tick bite on young girl's leg.

Do all tick species have the same attachment/biting preference? Does an infected tick attach to or bite different areas vs. non-infected? Does a tick’s life stage impact where it attaches? Investigators examined the biting behavior of several tick species collected from New York State in hopes of answering these questions.

In their study, “Human attachment site preferences of ticks parasitizing in New York,” Hart and colleagues describe which body parts black-legged and lone star ticks prefer to bite.¹ They collected ticks, submitted between April and December 2020 from individuals living in New York State, along with online questionnaires indicating where the tick was attached.

They examined the biting behavior of 3 species of ticks: Ixodes scapularis (deer or black-legged tick), Amblyomma americanum (lone star tick), and Dermacentor variabilis (American dog tick).

A deer tick, which can transmit Lyme disease, is not so fussy about where it bites.

The team found, that the “I. scapularis is less specific in its preferential attachment sites,” than the lone star tick. “However, the life stage and infection status impact the tick’s attachment site.”

Deer ticks: Body parts it prefers to bite

The black-legged tick does not seem to prefer a specific body area. “Ixodes scapularis is primarily found on the central trunk, including the groin/pelvic region, the abdomen, the thoracic region, and the head/neck,” the authors write.

However, the tick’s life stage and infection status can impact where it attaches on the body.

The immature life stages prefer the limbs, while I. scapularis infected with B. burgdorferi prefer to bite the central trunk versus the limbs.

In contrast, the lone star tick prefers to attach to the lower midsection, upper legs, and groin.

“More adult [I. scapularis] ticks were found in the thoracic/abdominal region of the body, while nymphs were more often attached to the arms and legs,” the authors write.

Infected ticks: Biting behavior

Ixodes scapularis ticks were screened for several pathogens.

Anaplasma phagocytophilum, B. microti, and other pathogens (DTV and B. miyamotoi) did not influence which body area the ticks chose to feed on.

“Many tick samples were found to be carrying multiple pathogens.”

However, if the tick was infected with B. burgdorferi, there was a significant change in the distribution of tick bites – more bites in the midsection and fewer on the arms, legs and head.

If the deer tick is infected with B. burgdorferi, it prefers to bite the central trunk versus the limbs.

“Bacterial and protozoal agents transmitted by I. scapularis take several hours for an infectious dose to be transmitted,” the authors point out.

“Therefore, prompt detection and removal of ticks is important for preventing tick-borne disease.”

Lone star ticks: Bite quickly

The lone star tick can transmit Ehrlichia chafeensis and E. ewingii.

“The [lone star tick] is also associated with Southern Tick-Borne Rash Associated Illness (STARI), a disease of unknown etiology that has previously been observed in New York” and with the Alpha-gal syndrome or red meat allergy, the authors explain.

With all life stages, the lone star tick was most often found in the thigh/groin/pelvic region.

This tick species tends to bite quickly, instead of ascending to higher regions of the body, like the torso or head.

The authors point out, the information gathered from their study can be helpful in protecting the public from tick-borne diseases. Educating individuals about the body parts most likely to have ticks attached can potentially reduce the transmission of tick-borne pathogens.

Authors Conclude:

  • Body regions where tick bites human vary depending on the tick species and life stage, and clothing worn by the host.
  • The lone star tick prefers attaching to the thighs, groin, and abdomen.
  • Ixodes scapularis was found across the body, although it showed a significant life stage difference with adults preferring the head, midsection, and groin, while nymphs/larvae preferred the extremities.”
  • “Infection with Borrelia burgdorferi resulted in a significant change in attachment site.”
  1. Hart, C., Schad, L.A., Bhaskar, J.R. et al. Human attachment site preferences of ticks parasitizing in New York. Sci Rep 12, 20897 (2022). https://doi.org/10.1038/s41598-022-25486-7

4 Replies to "What parts of the body do ticks prefer to bite?"

  • Alexandra Militaru
    06/03/2023 (6:34 am)

    hi. I’ve been treating Lyme for 5 months with antibiotics. I notice some oscillations in my body all the time. My symptoms are burning on my thighs, back pain, shoulder pain and pain in the groin with cracking bones. I often try to check what the symptoms are and notice that in the course of a day they appear and disappear continuously. This also happens with the cracking of the bones. Am I to understand that it is a sign that the treatment is working or what does this mean? please give me an answer..I feel like my body is going crazy

    • Dr. Daniel Cameron
      06/03/2023 (2:13 pm)

      I have patients with rapidly changing symptoms. I am never sure the cause. I treat for Lyme and I refer to specialists to include a neurologist to rule out other conditions.

    05/24/2023 (8:28 am)

    I’ve been bitten on my thigh,, on my head,, on my back, on my elbow ,, behind my knee……

    • Dr. Daniel Cameron
      05/24/2023 (11:37 am)

      It sounds like the ticks aren’t fussy. They will bite you anyplace they can get a meal.

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