As has already been mentioned, direct exposure, not only envenomation, is enough to cause an anaphylactic reaction.
It is almost impossible to avoid direct contact and/or inhalation of dried venom particulate when working with venomous specimens and many people have incurred sever allergic reactions from such, some resulting in complications equal to being directly envenomated.
Keep in mind, an epinephrine auto-injector, Epi-Pen is a brand name, will buy you time, but such will not always get you out of the woods and so prompt medical attention should be sought regardless of the mechanism causing the reaction…

Best regards,

Jeff
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Jeff Snodgres
University of Arkansas
snodgresjeffreys@uams.edu
501.603.1947

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