Anaphylaxis

Hypersensitivity to ant, bee or wasp venom is not uncommon in the Australian population. Less well known is tick hypersensitivity, which clinically presents the same picture.

Signs and Symptoms

• Urticaria
• Hypotension
• Bronchospasm
• Angioedema
• Airway swelling
• Bradypnoea

Treatment

• Airway management
• Ventilatory support
• Adrenaline
• Corticosteroids
• Antihistamines
• Fluid resuscitation
• Monitor renal function

Ongoing Management

• Injectible adrenaline
• Education
• Maintenance immunotherapy