Hymenoptera Stings Workup

Updated: Oct 15, 2021
  • Author: Randy Park, MD; Chief Editor: Joe Alcock, MD, MS  more...
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Laboratory Studies

Diagnosis usually is confirmed by patient's history. In systemic reactions, laboratory studies may help evaluate organ damage caused by the reaction. Complete blood cell (CBC) count and blood chemistry may be needed.



Stinger removal

The stinger most commonly appears as a dark barb in the skin with attached stinging apparatus of honeybees.

People who have been stung should remove the bee stinger as quickly as possible. Removal method is not as important as rapidity because the stinging apparatus actively injects venom into the wound for 1 minute after the sting, even if the bee has been killed or knocked away from the site. Visscher and colleagues demonstrated no advantage to scraping away the stinger compared with pinching. [16]

Forceps may be needed to remove the stinger after the venom sac has been torn away.