IMMEDIATE: Pain, often intense
LOCAL: 1-4 hours—A two-puncture wound at the site with redness, swelling, and a burning aching pain that subsides in 4-5 hours
REGIONAL: Rare—Purpura of an entire limb
ANAPHYLAXIS AND DEATH: None reported in the United States
TREATMENT
LOCAL FIRST AID:
1. Wash with soap and water 2. Apply ammonia in 10% solution 3. Apply cool wet dressings of a saturated magnesium sulfate solution
SYSTEMIC: Analgesics for pain