Bee sting - Altmeyers Encyclopedia - Department Allergology

Definition
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Sting of a bee with subsequent local inflammatory reaction.

Clinical features
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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. Immunity to bee venom through repeated bee stings (beekeeper). Beekeepers show a slight, short-lasting wheal formation on bee stings. S.a. Bee venom allergy.

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Therapy
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If necessary, remove sting with splinter tweezers. In case of a strong local reaction use short-term potent glucocorticoid extracts, e.g. 0.1% mometasone ointment (e.g. Ecural) or 0.05% clobetasol ointment/cream (e.g. R054, dermoxin ointment). In addition, use moist table salt compresses over ointment applied in a thick layer. The effectiveness of external antihistamines such as dimetinden (e.g. Fenistil Gel) is controversial.
In case of systemic reactions, treatment appropriate to the stage of the disease depending on the clinic. In case of anaphlyaxia, see below for therapy of anaphylactic shock.
In case of systemic reactions and verifiable sensitization, specific immunotherapy if necessary. See below for insect venom allergy.

Internal therapy
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In case of local reaction and severe itching, administration of an antihistamine: levocetirizine (e.g. Xusal) 1 tbl/day p.o. or desloratadine 1 tbl/day (e.g. Aerius).
Sedating antihistamines possibly at night: Clemastine (e.g. Tavegil) 1 time a day 1 tbl/day or Dimetinden (e.g. Fenistil) 1 time a day 1 tbl p.o. at night. For systemic reactions see below Shock, anaphylactic. For allergy see below. Insecticide allergy.

Naturopathy
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With the usual expected local reaction, you can place half a sliced onion on the puncture site and at the same time cool it with cold water or a cooling element. Kitchen onions have an anti-inflammatory and pain-relieving effect, mainly through the active ingredient allicin.