Bumblebee sting T63.4

Sting of a bumblebee (in comparison to other hymenopteran stings rather rare event) with following local inflammatory reaction. See also bumblebee sting allergy. Bumblebees (Bombus) are a genus of state-forming insects belonging to the genus of real bees.

Circumscribed, painful, edematous swelling and redness, occasionally small bleeding from the central puncture site. Sting partially still present. In case of stings in the tongue, palate and throat region, possible danger of suffocation due to swelling of the tongue and glottis oedema. Rarely severe general symptoms. Bumblebee poison allergy among others.

Testing with commercially available bee venom, see under insect venom allergy.

Remove sting with splinter tweezers.

Notice! The faster the spike is removed, the lower the local reaction!

Remove sting with splinter tweezers.

Notice! The faster the spike is removed, the lower the local reaction!

Ice packs or damp, cooling envelopes, if necessary with the addition of quinolinol (e.g. quinosol 1:1000 or R042 ). Antihistamine-containing gels (e.g. Fenistil Gel, Tavegil Gel), in case of lack of response glucocorticoid-containing creams, e.g. 0.25% prednicarbate (e.g. Dermatop Cream).

• In case of local reaction and severe itching, administration of an antihistamine such as levocetirizine (e.g. Xusal) once/day 1 tbl. p.o. or desloratadine (e.g. Aerius) once/day 1 tbl. p.o.
• Sedating antihistamines, if necessary at night: Clemastine (e.g. Tavegil) 2 times/day 1 tbl. p.o. or Dimetinden (e.g. Fenistil) 2 times/day 1 tbl. p.o. For systemic reactions see below Shock, anaphylactic. For allergy see below. Insecticide allergy.