Insect encounters are most frequent in summer. Reactions range from local irritation and mild swelling to gross oral swelling and difficulty breathing.
Treatment is usually entirely supportive, aimed at alleviating immune reactions.
Fatal spider bites are exceedingly rare. The majority can be treated with supportive care.
Severe reactions and anaphylaxis require immediate treatment.
Guidelines are mainly based on clinical experience and expert consensus due to the variability and unpredictability of reactions.
There is risk of late-phase (delayed) anaphylactic reactions.
Primary care physicians should be notified of severe reactions involving their patients.
Honeybee stinging flesh
Courtesy of Rick Vetter
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