Pediatrics in Review
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(Pediatrics in Review. 2005;26:388-389.)
© 2005 American Academy of Pediatrics

In Brief

Insect Stings

The first 20% of the full text of this article appears below.

Stinging Insect Hypersensitivity: A Practice Parameter. Portnoy JM, Moffitt JE, Golden DBK, et al. J Allergy Clin Immunol. 1999;103 :963 –980[CrossRef][Medline]

Insect Allergy. Yunginger JW. In: Middleton E Jr, Ellis EF, Yunginger JW, et al, eds. Allergy: Principles & Practice. Vol II. 5th ed. St. Louis, Mo: Mosby; 1998:1063 –1072

Subsequent Insect Stings in Children with Hypersensitivity to Hymenoptera. Hauk P, Friedl K, Kaufmehl K, et al. J Pediatr. 1995;126 :185 –190[CrossRef][Medline]

Anaphylaxis to Arthropod Bites and Stings: Consensus and Controversies. Yates AB, Moffitt JE, de Shazo RD. Immunol Allergy Clin North Am. 2001;21 :635 –651

Reactions to insect stings, both allergic and toxic, are seen commonly in pediatric practice. Stinging insects include honeybees, bumblebees, sweat bees, wasps, yellow jackets, hornets, harvester ants, and fire ants, all belonging to the order Hymenoptera of the class Insecta. Only female insects have the stinging apparatus to inject venom, which may contain toxic vasoactive amines or allergenic proteins that can trigger an immunoglobulin (Ig) E-mediated response.

Honeybees include the domesticated European honeybee and the Africanized honeybee. The venoms of the two types of honeybee are virtually identical and have similar toxicities and allergenicity. However, because the Africanized honeybee is more aggressive and may attack in large swarms, death can result from the toxic effects of huge quantities of venom rather than from an allergic reaction. The honeybee’s stinging apparatus, because it has multiple barbs, usually is left behind after a sting, leading to the bee’s death. Fire ant stings are becoming more common, particularly in southern regions of the United States, . . . [Full Text of this Article]


Gail M. Booker, MD
 Children’s Hospital at Montefiore
Bronx, NY

Henry M. Adam, MD, Editor, In Brief




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