Bee sting

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Bee sting
Bee-sting-abeille-dard-2.jpg
The stinger of a honey bee separated from the body and attached to a protective dressing
Specialty Emergency medicine
Symptoms Pain, itching, swelling
Complications Allergic reaction
CausesFemale bees
Risk factors swelling, rash, shortness of breath
Medication Antihistamine, epinephrine (for allergic reaction)

A bee sting is the wound and pain caused by the stinger of a female bee puncturing skin. Bee stings differ from insect bites, with the venom of stinging insects having considerable chemical variation. The reaction of a person to a bee sting may vary according to the bee species. While bee stinger venom is slightly acidic and causes only mild pain in most people, [1] allergic reactions may occur in people with allergies to venom components. [2]

Contents

Honey bee stings

Microscope magnified image of a queen wasp's stinger, showing stylus and barbed lancets Sting of Queen Wasp.jpg
Microscope magnified image of a queen wasp's stinger, showing stylus and barbed lancets
The left side of the image shows the [?]4 degC (7 degF) temperature increase (saturated red zone) caused by a bee sting after about 28 hours Thermal effects of Insect bite by Volkan Yuksel IR001666.jpg
The left side of the image shows the ≈4 °C (7 °F) temperature increase (saturated red zone) caused by a bee sting after about 28 hours

A honey bee that is away from the hive foraging for nectar or pollen will rarely sting, except when stepped on or roughly handled. Honey bees will actively seek out and sting when they perceive the hive to be threatened, often being alerted to this by the release of attack pheromones (below).

Although it is widely believed that a worker honey bee can sting only once, this is a partial misconception: although the stinger is in fact barbed so that it lodges in the victim's skin, tearing loose from the bee's abdomen and leading to its death in minutes, this only happens if the skin of the victim is sufficiently thick, such as a mammal's. [3] Honey bees are the only hymenoptera with a strongly barbed sting, though yellow jackets and some other wasps have small barbs.

The venom of the honeybee contains histamine, mast cell degranulating peptide, melittin, phospholipase A2, hyaluronidase and acid phosphatase. The three proteins in honeybee venom that are important allergens are phospholipase A2, hyaluronidase and acid phosphatase. In addition, the polypeptide melittin is also antigenic. Bumblebee venom appears to be chemically and antigenically related to honeybee venom. [4]

Bees with barbed stingers can often sting other insects without harming themselves. Queen honeybees and bees of many other species, including bumblebees and many solitary bees, have smoother stingers with smaller barbs and can sting mammals repeatedly. [3]

The sting's injection of apitoxin into the victim is accompanied by the release of alarm pheromones, a process which is accelerated if the bee is fatally injured. The release of alarm pheromones near a hive may attract other bees to the location, where they will likewise exhibit defensive behaviors until there is no longer a threat, typically because the victim has either fled or been killed. (Note: A bee swarm, seen as a mass of bees flying or clumped together, is generally not hostile; it has deserted its hive and has no comb or young to defend.) These pheromones do not dissipate or wash off quickly, and if their target enters the water, bees will resume their attack as soon as it leaves the water. The alarm pheromone emitted when a bee stings another animal smells like a banana. [5] [6]

Drone bees, the males, are larger and do not have stingers. The female bees (worker bees and queens) are the only ones that can sting, and their stinger is a modified ovipositor. The queen bee has a barbed but smoother stinger and can, if need be, sting skin-bearing creatures multiple times, but the queen does not leave the hive under normal conditions. Her sting is not for the defense of the hive; she only uses it for dispatching rival queens, ideally before they can emerge from their cells. Queen breeders who handle multiple queens and have the queen odor on their hands are sometimes stung by a queen.

The stinger consists of three parts: a stylus and two barbed slides (or lancets), one on either side of the stylus. The bee does not push the stinger in but it is drawn in by the barbed slides. The slides move alternately up and down the stylus so when the barb of one slide has caught and retracts, it pulls the stylus and the other barbed slide into the wound. When the other barb has caught, it also retracts up the stylus pulling the sting further in. This process is repeated until the sting is fully in and even continues after the sting and its mechanism is detached from the bee's abdomen. When a female honey bee stings a person, it cannot pull the barbed stinger back out, but rather leaves behind not only the stinger, but also part of its abdomen and digestive tract, plus muscles and nerves. This massive abdominal rupture kills the honey bee. Honey bees are the only bees to die after stinging. [7]

Venom and apitherapy

The main component of bee venom responsible for pain in vertebrates is the toxin melittin; histamine and other biogenic amines may also contribute to pain and itching. [8] In one of the alternative medical uses of honey bee products, apitherapy, bee venom has been used to treat arthritis and other painful conditions. [9] All currently available evidence supporting this practice is either anecdotal, animal studies, or preliminary evidence, most of which has poor methodology. [10] Apitherapy is not currently accepted as a viable medical treatment for any condition or disease; the risk of allergic reaction and anaphylaxis outweighs any benefits. According to the American Cancer Society, there is no scientific evidence that apitherapy or bee venom therapy can treat or change the course of cancer or any other disease. [11] Clinical trials have shown that apitherapy is ineffective in treating multiple sclerosis or any other disease, and can exacerbate multiple sclerosis symptoms. [12]

Treatment

The first step in treatment following a honey bee sting is removal of the stinger itself. The stinger should be removed as quickly as possible without regard to method: a study has shown the amount of venom delivered does not differ whether the sting is pinched or scraped off and even a delay of a few seconds leads to more venom being injected. [13] Once the stinger is removed, pain and swelling should be reduced with a cold compress. [14] A topical anesthetic containing benzocaine will relieve pain quickly and menthol is an effective anti-itch treatment. [15] Itching can also be relieved by antihistamine or by a topical steroid cream. [16]

Many traditional remedies have been suggested for bee stings. [17] No interventions have been proven to be effective in scientific studies and a randomized trial of aspirin paste and topical ice packs showed that aspirin was not effective in reducing the duration of swelling or pain in bee and wasp stings, and significantly increased the duration of redness. [14] The study concluded that ice alone is a better treatment for bee and wasp stings than aspirin. [14]

For about 2 percent of people, a hypersensitivity can develop after being stung, creating a more severe reaction. This sensitisation may happen after a single sting, or after a series of stings. An allergic person may suffer anaphylactic shock from certain proteins in the venom, which can be life-threatening and requires emergency treatment. [18] People known to be highly allergic may carry around epinephrine (adrenaline) in the form of a self-injectable EpiPen for the treatment of an anaphylactic shock. For people who experience severe or life-threatening reactions to insect stings, allergy injections composed of increasing concentrations of naturally occurring venom may provide protection against future insect stings. [19]

See also

Related Research Articles

<span class="mw-page-title-main">Honey bee</span> Colonial flying insect of genus Apis

A honey bee is a eusocial flying insect within the genus Apis of the bee clade, all native to mainland Afro-Eurasia. After bees spread naturally throughout Africa and Eurasia, humans became responsible for the current cosmopolitan distribution of honey bees, introducing multiple subspecies into South America, North America, and Australia.

While observers can easily confuse common wasps and bees at a distance or without close observation, there are many different characteristics of large bees and wasps that can be used to identify them.

<span class="mw-page-title-main">Hornet</span> Genus of eusocial wasp

Hornets are the largest of the eusocial wasps, and are similar in appearance to yellowjackets, their close relatives. Some species can reach up to 5.5 cm (2.2 in) in length. They are distinguished from other vespine wasps by the relatively large top margin of the head. Worldwide, 22 species of Vespa are recognized. Most species only occur in the tropics of Asia, though the European hornet is widely distributed throughout Europe, Russia, North America, and north-eastern Asia. Wasps native to North America in the genus Dolichovespula are commonly referred to as hornets, but all of them are actually yellowjackets.

<span class="mw-page-title-main">Yellowjacket</span> Common name for two genera of wasps

Yellowjacket or yellow jacket is the common name in North America for predatory social wasps of the genera Vespula and Dolichovespula. Members of these genera are known simply as "wasps" in other English-speaking countries. Most of these are black and yellow like the eastern yellowjacket and the aerial yellowjacket ; some are black and white like the bald-faced hornet. Some have an abdomen with a red background color instead of black. They can be identified by their distinctive markings, their occurrence only in colonies, and a characteristic, rapid, side-to-side flight pattern prior to landing. All females are capable of stinging. Yellowjackets are important predators of pest insects.

Beekeeping is the maintenance of bee colonies, commonly in artificial beehives. Honey bees in the genus Apis are the most commonly kept species but other honey producing bees such as Melipona stingless bees are also kept. Beekeepers keep bees to collect honey and other products of the hive: beeswax, propolis, bee pollen, and royal jelly. Other sources of beekeeping income include pollination of crops, raising queens, and production of package bees for sale. Bee hives are kept in an apiary or "bee yard".

<span class="mw-page-title-main">Apitherapy</span> Pseudoscientific alternative medical therapy using bee products

Apitherapy is a branch of alternative medicine that uses honey bee products, including honey, pollen, propolis, royal jelly and bee venom. There has been no scientific or clinical evidence for the efficacy or safety of apitherapy treatments. Bee venom can cause minor or major reactions, including allergic responses, anaphylaxis or death.

<span class="mw-page-title-main">Stinger</span> Sharp organ capable of injecting venom

A stinger is a sharp organ found in various animals capable of injecting venom, usually by piercing the epidermis of another animal.

<span class="mw-page-title-main">Worker bee</span> Caste of honey bee

A worker bee is any female bee that lacks the reproductive capacity of the colony's queen bee and carries out the majority of tasks needed for the functioning of the hive. While worker bees are present in all eusocial bee species, the term is rarely used for bees other than honey bees, particularly the European honey bee. Worker bees of this variety are responsible for approximately 80% of the world's crop pollination services.

<span class="mw-page-title-main">Asian giant hornet</span> Predatory hornet, largest in the world

The Asian giant hornet or northern giant hornet, including the color form referred to as the Japanese giant hornet, is the world's largest hornet. It is native to temperate and tropical East Asia, South Asia, Mainland Southeast Asia, and parts of the Russian Far East. It was also found in the Pacific Northwest of North America in late 2019 with a few more additional sightings in 2020, and nests found in 2021, prompting concern that it could become an invasive species. However, by the end of the season in November 2022, there were no confirmed sightings in North America at all, suggesting they may have been eradicated in that region.

<span class="mw-page-title-main">Melittin</span> Chemical compound

Melittin is the main component and the major pain-producing substance of honeybee venom. Melittin is a basic peptide consisting of 26 amino acids.

Apitoxin or bee venom is the venom produced by the honey bee. It is a cytotoxic and hemotoxic bitter colorless liquid containing proteins, which may produce local inflammation. It may have similarities to sea nettle toxin.

<span class="mw-page-title-main">Schmidt sting pain index</span> Pain scale for insect stings

The Schmidt sting pain index is a pain scale rating the relative pain caused by different hymenopteran stings. It is mainly the work of Justin O. Schmidt, who was an entomologist at the Carl Hayden Bee Research Center in Arizona. Schmidt published a number of works on the subject and claimed to have been stung by the majority of stinging Hymenoptera.

<span class="mw-page-title-main">Autotomy</span> Self-amputation

Autotomy or 'self-amputation', is the behaviour whereby an animal sheds or discards an appendage, usually as a self-defense mechanism to elude a predator's grasp or to distract the predator and thereby allow escape. Some animals are able to regenerate the lost body part later. Autotomy is thought to have evolved independently at least nine times. The term was coined in 1883 by Leon Fredericq.

<span class="mw-page-title-main">Jack jumper ant</span> Species of ant endemic to Australia

The jack jumper ant, also known as the jack jumper, jumping jack, hopper ant, or jumper ant, is a species of venomous ant native to Australia. Most frequently found in Tasmania and southeast mainland Australia, it is a member of the genus Myrmecia, subfamily Myrmeciinae, and was formally described and named by British entomologist Frederick Smith in 1858. This species is known for its ability to jump long distances. These ants are large; workers and males are about the same size: 12 to 14 mm for workers, and 11 to 12 mm for males. The queen measures roughly 14 to 16 mm long and is similar in appearance to workers, whereas males are identifiable by their perceptibly smaller mandibles.

This page is a glossary of beekeeping.

Insect sting allergy is the term commonly given to the allergic response of an animal in response to the bite or sting of an insect. Typically, insects which generate allergic responses are either stinging insects or biting insects. Stinging insects inject venom into their victims, whilst biting insects normally introduce anti-coagulants into their victims.

<span class="mw-page-title-main">Western honey bee</span> European honey bee

The western honey bee or European honey bee is the most common of the 7–12 species of honey bees worldwide. The genus name Apis is Latin for 'bee', and mellifera is the Latin for 'honey-bearing' or 'honey-carrying', referring to the species' production of honey.

<span class="mw-page-title-main">Arthropod bites and stings</span> Medical condition

Many species of arthropods can bite or sting human beings. These bites and stings generally occur as a defense mechanism or during normal arthropod feeding. While most cases cause self-limited irritation, medically relevant complications include envenomation, allergic reactions, and transmission of vector-borne diseases.

<span class="mw-page-title-main">Insects in medicine</span> Uses of insects for medicinal purposes

Insects have long been used in medicine, both traditional and modern, sometimes with little evidence of their effectiveness.

References

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