Abstract
Red imported fire ants (RIFA) are a major economic pest in the southeastern United States. RIFA belong to the Solenopsis species. RIFA bites result in the release of Hymenoptera venom, which causes a painful skin reaction and a potential for anaphylaxis. Clinicians need to be able to rapidly identify any signs of respiratory distress or shock symptoms in these patients. This case reviews the presentation, diagnosis, and treatment options for a patient who experiences this insect bite. There have been no prior cases documenting atrial fibrillation in association with RIFA. A wearable device enabled rapid detection of the arrhythmic episodes that occurred after the bites. The case demonstrates the significance of cross-reactions between RIFA and yellowjacket stings and how wearable technology can provide additional information to assist in patient care.
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