Clinical Profile of Hymenoptera Sting in a Tertiary Care Hospital in Himachal Pradesh

Abstract

BACKGROUND Hymenoptera stings are common public health hazards worldwide. Clinical spectrum of venom allergy varies from local reaction to life-threatening and unusual delayed reaction which may be fatal. MATERIALS AND METHODS This retrospective study was done to assess the clinical profile and outcome of hymenoptera sting in a tertiary care hospital in Himachal Pradesh. 33 patients admitted in medicine ward were analysed. RESULTS Incidence of hymenoptera sting was more common among females (57.6%) as compared to males (42.4%). Majority of the wasp and bee stings were observed in the months of October to December (50%). Local inflammatory reactions were present in all the patients with wasp and bee sting. Most common complication was hepatitis (39.4%) followed by hypertension 27.3%) and acute renal injury (15.2%). Mortality rate in our study was 12.1%. Local reactions were mild and resolved spontaneously. CONCLUSION Wasp and bee stings result in mild reactions to life-threatening complications, which may be delayed in onset. Therefore, early anticipation of these complications by the treating physician is needed for the management of the patient.