Abstract
Introduction: Ants, bees and wasps are insects in Order Hymenoptera. Victims of Hymenoptera sting can present with nuisance pain to more severe form of anaphylaxis [1]. Ropalidia marginata (Kaladuruwa) is the most common social wasp of Peninsula of India [2]. Traditional medication is a common practice in rural Sri Lanka for insect sting. Nest of the Ropalidia marginata is crushed and mixed with water to make a paste which is applied on the painful area over the stinging site of paper wasp as a common traditional treatment.Although there are many cases of allergic reactions after wasp sting, the individual species of Ropalidia marginata causing severe anaphylaxis is not reported. We report a school boy presented with severe anaphylaxis after this paper wasp sting in Deniyaya, Sri Lanka.
Highlights
Bees and wasps are insects in Order Hymenoptera. Victims of Hymenoptera sting can present with nuisance pain to more severe form of anaphylaxis [1]
Ants, bees and wasps are insects in Order Hymenoptera
Father of the child brought the specimens of offending wasp which was found under surface of the small bridge
Summary
Bees and wasps are insects in Order Hymenoptera. Victims of Hymenoptera sting can present with nuisance pain to more severe form of anaphylaxis [1]. White cell count was 7800/mm[3] with 57% of Neutrophils, 40% of Lymphocytes, 1% of Monocytes and 2% of Eosinophils. Haemoglobin was 11.6g/dl and platelet count was 244000mm[3]. Renal and liver functions were all normal.
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