Bee stings Health Dictionary

See BITES AND STINGS.... stings

Animal bites are best treated as puncture wounds and simply washed and dressed. In some cases ANTIBIOTICS may be given to minimise the risk of infection, together with TETANUS toxoid if appropriate. Should RABIES be a possibility, then further treatment must be considered. Bites and stings of venomous reptiles, amphibians, scorpions, snakes, spiders, insects and ?sh may result in clinical effects characteristic of that particular poisoning. In some cases speci?c ANTIVENOM may be administered to reduce morbidity and mortality.

Many snakes are non-venomous (e.g. pythons, garter snakes, king snakes, boa constrictors) but may still in?ict painful bites and cause local swelling. Most venomous snakes belong to the viper and cobra families and are common in Asia, Africa, Australia and South America. Victims of bites may experience various effects including swelling, PARALYSIS of the bitten area, blood-clotting defects, PALPITATION, respiratory di?culty, CONVULSIONS and other neurotoxic and cardiac effects. Victims should be treated as for SHOCK – that is, kept at rest, kept warm, and given oxygen if required but nothing by mouth. The bite site should be immobilised but a TOURNIQUET must not be used. All victims require prompt transfer to a medical facility. When appropriate and available, antivenoms should be administered as soon as possible.

Similar management is appropriate for bites and stings by spiders, scorpions, sea-snakes, venomous ?sh and other marine animals and insects.

Bites and stings in the UK The adder (Vipera berus) is the only venomous snake native to Britain; it is a timid animal that bites only when provoked. Fatal cases are rare, with only 14 deaths recorded in the UK since 1876, the last of these in 1975. Adder bites may result in marked swelling, weakness, collapse, shock, and in severe cases HYPOTENSION, non-speci?c changes in the electrocardiogram and peripheral leucocytosis. Victims of adder bites should be transferred to hospital even if asymptomatic, with the affected limb being immobilised and the bite site left alone. Local incisions, suction, tourniquets, ice packs or permanganate must not be used. Hospital management may include use of a speci?c antivenom, Zagreb®.

The weever ?sh is found in the coastal waters of the British Isles, Europe, the eastern Atlantic, and the Mediterranean Sea. It possesses venomous spines in its dorsal ?n. Stings and envenomation commonly occur when an individual treads on the ?sh. The victim may experience a localised but increasing pain over two hours. As the venom is heat-labile, immersion of the affected area in water at approximately 40 °C or as hot as can be tolerated for 30 minutes should ease the pain. Cold applications will worsen the discomfort. Simple ANALGESICS and ANTIHISTAMINE DRUGS may be given.

Bees, wasps and hornets are insects of the order Hymenoptera and the females possess stinging apparatus at the end of the abdomen. Stings may cause local pain and swelling but rarely cause severe toxicity. Anaphylactic (see ANAPHYLAXIS) reactions can occur in sensitive individuals; these may be fatal. Deaths caused by upper-airway blockage as a result of stings in the mouth or neck regions are reported. In victims of stings, the stinger should be removed as quickly as possible by ?icking, scraping or pulling. The site should be cleaned. Antihistamines and cold applications may bring relief. For anaphylactic reactions ADRENALINE, by intramuscular injection, may be required.... bites and stings

Reactions produced by the sting of insects such as bees and wasps.

Venom injected by the insect contains inflammatory substances that cause local pain, redness, and swelling for about 48 hours. Any sting in the mouth or throat is dangerous because the swelling may obstruct breathing. About 1 person in 200 is allergic to insect venom, and a severe allergic reaction can occur, leading to anaphylactic shock. A procedure known as hyposensitization is sometimes recommended for such people.

If the symptoms of anaphylactic shock develop, it is essential to seek emergency medical treatment. Any person who is known to be hypersensitive to bee or wasp venom should obtain and carry an emergency kit for the self-injection of adrenaline (epinephrine).... insect stings

Stings from jellyfish, which belong to a group of marine animals called coelenterates or cnidarians.

Stinging capsules discharge when jellyfish tentacles are touched.

Usually, the sting causes only a mildly painful or itchy rash, but some jellyfish and Portuguese men-of-war (other members of the same group) can cause a severe sting.

Rarely, venom may cause vomiting, sweating, breathing difficulties, and collapse.

Dangerous species live mainly in tropical waters.

Antivenoms may be available.... jellyfish stings

Injection of venom by a scorpion into a victim using a sting in its tail.

Many species are not dangerous, but some in North Africa, southern , South America, the Caribbean, and India are highly venomous.

Some stings may cause only mild pain and tingling; but in more venomous species severe pain, restlessness, sweating, diarrhoea, and vomiting can occur.

Stings are rarely fatal in adults but require prompt attention.

If pain is the only symptom, analgesics and a cold compress may be enough.

In severe cases, antivenom may be needed.... scorpion stings

The injection of venom by certain animals via their mouthparts (bites) or other injecting apparatus (stings). Venoms are often carried to discourage predators, and are sometimes used to kill or immobilize prey. It is rare for a venomous animal to attack a person unless it has been provoked or disturbed. Specific antivenoms are available to treat many, though not all, types of animal venom. (See also insect stings; jellyfish stings; scorpion stings; snake bites; spider bites.)... venomous bites and stings

See insect stings.... wasp stings