Spread of stinging ants to oceanic islands, and the need to raise awareness of prevention and treatment of ant stings

Objective Venomous invasive ants are rapidly dispersing throughout oceanic islands. Medics unfamiliar with envenomation or venom‐induced anaphylaxis may be unprepared for the range of possible reactions and corresponding treatments. We detail the suboptimal treatment of a patient suffering anaphylax...

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Veröffentlicht in:Emergency medicine Australasia 2023-08, Vol.35 (4), p.560-563
Hauptverfasser: Hoffmann, Benjamin D, Ducarme, Frédéric, Bradford, DanaKai, Martinez, Santiago
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container_end_page 563
container_issue 4
container_start_page 560
container_title Emergency medicine Australasia
container_volume 35
creator Hoffmann, Benjamin D
Ducarme, Frédéric
Bradford, DanaKai
Martinez, Santiago
description Objective Venomous invasive ants are rapidly dispersing throughout oceanic islands. Medics unfamiliar with envenomation or venom‐induced anaphylaxis may be unprepared for the range of possible reactions and corresponding treatments. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. Methods The patient experienced stings on his feet from an ant later identified as tropical fire ant, Solenopsis geminata. Clinical examination revealed throat swelling without obstruction of the airway or pharynx. Results The patient was provided the following suboptimal treatment: intravenously‐administered antihistamine and saline perfusion. Injected epinephrine should be the standard first line of treatment for anaphylaxis, even when not all symptoms are present. Conclusion A rise in invasive hymenopteran stings on oceanic islands is inevitable, and proactively improving public awareness and medical training could save lives. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. A rise in invasive hymenopteran stings on oceanic islands is inevitable, and proactively improving public awareness and medical training could save lives.
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Medics unfamiliar with envenomation or venom‐induced anaphylaxis may be unprepared for the range of possible reactions and corresponding treatments. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. Methods The patient experienced stings on his feet from an ant later identified as tropical fire ant, Solenopsis geminata. Clinical examination revealed throat swelling without obstruction of the airway or pharynx. Results The patient was provided the following suboptimal treatment: intravenously‐administered antihistamine and saline perfusion. Injected epinephrine should be the standard first line of treatment for anaphylaxis, even when not all symptoms are present. Conclusion A rise in invasive hymenopteran stings on oceanic islands is inevitable, and proactively improving public awareness and medical training could save lives. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. A rise in invasive hymenopteran stings on oceanic islands is inevitable, and proactively improving public awareness and medical training could save lives.</description><identifier>ISSN: 1742-6731</identifier><identifier>EISSN: 1742-6723</identifier><identifier>DOI: 10.1111/1742-6723.14165</identifier><identifier>PMID: 36596650</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>Allergology ; anaphylaxis ; Emerging diseases ; Environmental Sciences ; fire ant ; Human health and pathology ; Humanities and Social Sciences ; hymenoptera ; Immunology ; invasive species ; Life Sciences ; Santé publique et épidémiologie ; Solenopsis geminata</subject><ispartof>Emergency medicine Australasia, 2023-08, Vol.35 (4), p.560-563</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.</rights><rights>2023 The Authors. 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Medics unfamiliar with envenomation or venom‐induced anaphylaxis may be unprepared for the range of possible reactions and corresponding treatments. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. Methods The patient experienced stings on his feet from an ant later identified as tropical fire ant, Solenopsis geminata. Clinical examination revealed throat swelling without obstruction of the airway or pharynx. Results The patient was provided the following suboptimal treatment: intravenously‐administered antihistamine and saline perfusion. Injected epinephrine should be the standard first line of treatment for anaphylaxis, even when not all symptoms are present. Conclusion A rise in invasive hymenopteran stings on oceanic islands is inevitable, and proactively improving public awareness and medical training could save lives. We detail the suboptimal treatment of a patient suffering anaphylaxis from an ant sting on a remote island and describe what treatment should have been provided. 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subjects Allergology
anaphylaxis
Emerging diseases
Environmental Sciences
fire ant
Human health and pathology
Humanities and Social Sciences
hymenoptera
Immunology
invasive species
Life Sciences
Santé publique et épidémiologie
Solenopsis geminata
title Spread of stinging ants to oceanic islands, and the need to raise awareness of prevention and treatment of ant stings
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