Wasp sting - Altmeyers Encyclopedia - Department Allergology

Definition
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Sting of a wasp 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. S.a.u. wasp venom allergy.

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Therapy
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Remove sting with splinter tweezers.

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

External therapy
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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).

Internal therapy
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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.