Insect Stings

an extreme sensitivity to the venoms of insects (order Hymenopter )

bees hornets yellow jackets fire ants Wasps

 Venom allergy IgE-mediated reaction and it constitutes an acute emergency can trigger anaphylaxis stings of the head and neck or multiple stings are serious

Clinical manifestations
generalized urticaria itching malaise anxiety due to laryngeal edema to severe bronchospasm shock death Generally, the shorter the time between the sting and the onset of severe symptoms, the worse the prognosis

Management
stinger removal .The stinger is removed with one quick scrape of a fingernail over the site. Wound care with soap and water is sufficient for stings. **Scratching is avoided because it results in a histamine response. Ice application reduces swelling and also decreases venom absorption.

 An oral antihistamine and analgesic will decrease the itching and pain Desensitization therapy should be given to people who have had systemic or significant local reactions. Patient and family education is an important measure in preventing exposure to stinging insects