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November 22, 2009
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Bee and Wasp Sting

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

Insect stings overview

Bee and wasp stings are common causes of medical problems. Bees and wasps, together with fire ants, are all related insects that belong to the Hymenoptera order. Bee and wasp stings can cause significant reactions, ranging from localized pain and swelling to serious and even potentially fatal conditions. At least 40 deaths occur each year in the U.S. as a result of bee or wasp stings.

What are the types of wasps?

There are over 25,000 species of wasps found throughout the world. Some of the most common wasps include:

  • The yellow jacket and hornet, both of which live in groups, or colonies, in temperate climates.

  • Yellow jackets, which have black and yellow stripes on the abdomen, form underground nests.

  • Hornets are predominantly black with some yellow markings on the head and thorax. Hornets form paper-like nests that are attached to trees, bushes, or buildings.

What are the types of bees?

Bees include the honey bee, the so-called Africanized honey bee (also known as "killer bee"), and the bumble bee. Bumble bees are large, furry-appearing bees that fulfill the beneficial role of pollinating many plants. Honeybees, also active plant pollinators, are found all over the world. While honey bees are not usually aggressive, they will sting if bothered or threatened. Because their wings flap so rapidly, their presence is associated with a buzzing sound. Although the venom of the "killer bees" found in the Western and Southern U.S. is no more potent than that of regular honeybees, their behavior may be more aggressive. Killer bees may chase victims when agitated and may also attack in greater numbers, thereby increasing the chances of a severe reaction to their stings. Overall, there are more than 20,000 species of bees found worldwide.



Next: What are causes of bee and wasp stings? »

Bee and Wasp Sting

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Bee and Wasp Sting

What are stinging insects?

Stinging insects found in the United States include honeybees, yellow jackets, hornets, wasps, and fire ants. While not everyone is allergic to insect venom, reactions in the skin such as mild pain, swelling, and redness may occur with an insect sting.

Who is at risk for insect sting allergies?

Over 2 million Americans are allergic to stinging insects. The degree of allergy varies widely. Most people are not allergic to insect stings, and most insect stings result in only local itching and swelling. Many, however, will have severe allergic reactions. Severe allergic reactions to insect stings are responsible for at least 50 deaths each year in the U.S.

If you are known to be allergic to insect stings, then the next sting is 60% likely to be similar or worse than the previous sting. Since most stings occur in the summer and fall, you are at greatest risk during these months. Males under the a...

Read the Insect Sting Allergies article »










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