<em>Hymenoptera</em> (wasps, bees and ants) envenomation; a neglected tropical disorder in Sri Lanka

Sri Lanka is a tropical agricultural country in which huge number of insect species have been reported. Bees, wasps, and ants belong to the order Hymenoptera mostly living colony, colony members attack humans aggressively when they are disturbed. However, Hymenopterans important many ways such as pollination service wild plants, honey production, natural pest control for crops, being food chains. Therefore, we should help conserve while safeguarding ourselves from them.Unpublished data confirm that thousands hospital admissions 15-30 deaths after stings annually. When disturbed, sting victims inject venom defense mechanism. Immunological reactions toxic effects common clinical presentations sting. Fatal anaphylaxis, rhabdomyolysis, acute kidney injury, myocardial infarction (Kounis syndrome), bowel gangrene, cerebral infarction, pulmonary oedema, multi organ failure, limb ischaemia haemolytic anaemia reported Lanka.