Freshly squeezed: anaphylaxis caused by drone larvae juice

Eur Ann Allergy Clin Immunol. 2018 Sep;50(5):232-234. doi: 10.23822/EurAnnACI.1764-1489.43. Epub 2017 Nov 30.

Abstract

Drone larvae are mostly considered a by-product of beekeeping, but have recently been advo-cated as a high-protein source of food. There are as yet no data concerning their allergenic potential. We report on a 29-year old bee keeper who experienced an anaphylactic reaction following the consumption of a freshly prepared beverage from raw drone larvae. Larvae-specific sensitization was confirmed by prick-to-prick and basophil activation testing. Bee stings and classical bee products including honey and royal jelly were tolerated. This is the hitherto first report on IgE-mediated allergy to drone larvae. We suggest that a certain awareness towards the allergenicity of bee larvae is required.

Keywords: beekeeping; honey; propolis; royal jelly; venom.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Allergens / immunology
  • Anaphylaxis / diagnosis*
  • Anaphylaxis / immunology
  • Animals
  • Basophil Degranulation Test
  • Bees / physiology
  • Beverages*
  • Emergency Medical Services
  • Food Hypersensitivity / diagnosis*
  • Food Hypersensitivity / immunology
  • Humans
  • Immunoglobulin E / metabolism
  • Insect Proteins / immunology
  • Larva
  • Male
  • Skin Tests

Substances

  • Allergens
  • Insect Proteins
  • Immunoglobulin E