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Hymenoptera Reactions

Elvin Mendez MD1
Marc J. Sicklick MD1
 1 Albert Einstein College of Medicine/Montefiore Medical Center, New York, NY

The order Hymenoptera comprises a group of insects that has a true stinger. Only the female of the species can sting because the stinger itself is a modified ovipositor.

Insect bites and stings are common and usually cause mild localized reactions. However, Hymenoptera stings are of greater concern, with reactions ranging from mild local irritation to fatal anaphylaxis. The incidence of systemic reactions to stings reported in the literature ranges from 0.4% to 0.8%. More recent studies have shown that up to 5% of the population is at risk of anaphylaxis laxis from insect stings. Fewer than 50 deaths from insect stings are necorded in the United States every year, but many more are unreported or undiagnosed.






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