Bee stings

Notes
  • In honey bees, the barbed stinger remains in the skin with its venom sack still attached.
  • 3% of the victims of bee stings have allergic reactions while 0.8% of the victims have anaphylaxis.
Symptoms
  • Painful, swollen, red and itchy skin that may persist only for few hrs though in some cases, this may persist for a week or more.
  • In few cases vomiting, nausea, diarrhea and dizziness may occur.
  • Anaphylaxis
Management
  • Antihistamines such as chlorpheniramine (systemic in a health facility otherwise oral)
  • Topical corticosteroid such as hydrocortisone and triamcinolone creams)
  • Epinephrine injection
  • Analgesics to relieve the pain.
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