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Female hymenopterans have a stinging apparatus which is a modified ovipositor located at the tip of their abdomen and is associated with a venom gland [2]. The stinging apparatus is used in defence if the insect is disturbed. Venom glands of wasps produce a variety of toxic substances including active amines (serotonin, histamine, tyramine, catecholamines), wasp kinins (similar in composition to bradykinins) and histamine-releasing peptides [3]. These toxins cause both local and systemic manifestations, mostly allergy and anaphylaxis after sting. Although multi organ failure, rabdomyolysis, electrocardiographic changes, acute kidney injury and myocardial infarction have been reported rarely, anaphylaxis is the commonest complications associated with hymenoptera sting [3-7].

A characteristic cutaneous lesion over the sting site of the wasp, Vespa tropica