Hymenoptera stings: Difference between revisions

Revision as of 03:40, 29 August 2015

All Hymenoptera share similar components in their venonm and patients can have allergies across the subgroups^[1]
Most reactions are local but anaphylaxis and serum sickness are possible

Include Bumblebees and Honeybees
Barbed Stingers - remain in victims and the process of stinging kills the bee
Killer bees (hybridized African Bees) have small individual toxin potency but attack in large numbers with increased aggression^[2]
Main allergen is phospholipase A2, hyaluronidase and melittin^[1]
redness and irritation last 1-3 days

Include Yellow Jackets, Hornets, and Wasps
Non barbed stinger - can sting multiple times and the sting does not cause the wasps' death
Histamine, phospholipase, antigen 5, and bradykinin similar to bees^[1]
redness and irritation last 1-3 days

↑ ^1.0 ^1.1 ^1.2 King TP et al. Structure and biology of stinging insect venom allergens. Int Arch Allergy Immunol. 2000;123(2):99-106
↑ Díaz-Sánchez C. et al. Suvival after massive (>2000) Africanized Honey bee stings. Arch Intern Med. 1998;158(8):925-927
↑ Fernández-Meléndez S. et al. Anaphylaxis caused by imported red fire ant stings in Málaga, Spain. J Investig Allergol Immunol. 2007;17(1):48-49

Authors:

	the size of the bee
	the size of the bee’s stinger
	the nature of the most severe previous reaction experienced by the patient
	the amount of cutaneous erythema
	whether the patient is on oral steroid treatment

Revision as of 01:05, 5 May 2014 (view source) Ostermayer (talk \| contribs) (→‎Treatment) ← Older edit	Revision as of 03:40, 29 August 2015 (view source) Rossdonaldson1 (talk \| contribs) m (Rossdonaldson1 moved page Hymenoptera Stings to Hymenoptera stings) Newer edit →
(No difference)