Reisman RE, Livingston A. Late-onset allergic reactions, including serum sickness, after insect stings. Ten patients, age 6 to 78 years, had allergic reactions 1 to 2 weeks after an insect sting. Reisman RE, Dvorin DJ, Randolph CC et al. Of 127 patients receiving venom immunotherapy, there were 87 re-stings in 48 patients, resulting in 2 systemic reactions. Stinging insect allergy.
Severe reactions are rare in children.
Death comes unpredictably, and those at risk have not been identified. Immunotherapy has not been proven to prevent death. In many patients, stinging insect allergy is a self-limited process, with loss of clinical sensitivity and immunologic reactivity. Schuberth KC, Lichtenstein LM, Kagey-Sobotka A, et al. Epidemiologic study of insect allergy in children.