Which biting insect poses the most concern for allergic reactions in a child who experiences hives, shortness of breath, and wheezing after being bitten?

Prepare for the ACAAI Board Exam. Utilize flashcards and comprehensive multiple-choice questions, equipped with hints and detailed explanations. Ace your allergy and clinical immunology exam efficiently.

The concern for allergic reactions in a child who experiences hives, shortness of breath, and wheezing after being bitten is most closely associated with exposure to stinging insects, particularly bees. Bee stings can evoke strong allergic reactions, potentially leading to anaphylaxis, which is a severe and life-threatening condition. Symptoms such as hives, respiratory difficulties, and wheezing can arise as part of this allergic response.

Mosquitoes and spiders, while they can cause localized reactions like itching or mild swelling, are generally not associated with severe allergic reactions or anaphylaxis. Triatoma, also known as the kissing bug, can transmit diseases such as Chagas disease, but it does not typically cause the immediate allergic reactions described. Overall, the correct choice highlights a scenario where a bee sting could lead to the serious symptoms outlined, making it a significant concern for allergic reactions in this child.

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