Examination of the data retrieved from INEC revealed that in Costa Rica, 52 deaths attributed to Hymenoptera stings
were reported in 1985-2006.
The most frequent severe injuries were hymenoptera stings
(n = 71, 25.9%) at critical locations (i.e., the face, tongue, or neck) or in patients with known allergy.
, in Ling L, Clark R, Erickson T, et al (eds): Toxicology Secrets.
account for more human fatalities than any other venomous bite or sting.
Although most severe reactions of hymenoptera stings
occur with the first sting, patients who have previously experienced insect stings are at increased risk for severe allergic reactions from future stings.
Sujatha Ramesh studied 57 cases of Hymenoptera stings
and found that local reactions predominated, with just 12 children having systemic symptoms and 2 suffering reactions serious enough to require hospitalization.