Paeds Cases · allergy-and-immunology

The stung schoolboy — long case on insect-sting hypersensitivity

Long case on insect-sting (Hymenoptera venom) hypersensitivity: an eight-year-old boy who collapsed after a wasp sting at school and required intramuscular adrenaline, presenting the candidate with the acute recognition and management, the differentiation of a systemic reaction from a large local reaction, the four-to-six-week workup of venom-specific immunoglobulin E, skin testing and baseline tryptase with its mastocytosis implications, and the venom immunotherapy prevention decision and discharge package, including the parents' questions about whether he will grow out of it, whether the school needs an autoinjector, and whether venom immunotherapy is worth three to five years of injections.