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Case report. Bee sting brachial block.

S M Hay1, F A Hay, D H Austwick

  • 1Department of Orthopaedics, King Edward VII Hospital, Sheffield.

Archives of Emergency Medicine
|December 1, 1992
PubMed
Summary
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A bee sting in the neck caused immediate brachial plexus block, a rare neurological event. Symptoms resolved quickly, differing from previously reported delayed reactions to Hymenoptera stings.

Area of Science:

  • Neurology
  • Toxicology
  • Immunology

Background:

  • Neurological complications following Hymenoptera stings are documented, often presenting as delayed-onset symptoms.
  • These delayed reactions are hypothesized to have an immunological basis, affecting both central and peripheral nervous systems.

Observation:

  • This case report details a patient who experienced a brachial plexus block immediately after a bee sting.
  • The sting occurred in the posterior triangle of the neck, a critical anatomical region for the brachial plexus.

Findings:

  • The neurological symptoms, specifically a brachial plexus block, manifested rapidly after the bee sting.
  • Crucially, the symptoms also resolved with comparable speed, a characteristic not previously reported in similar cases.

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Implications:

  • This case suggests that immediate peripheral nerve blocks can occur following bee stings.
  • It highlights the need to consider rapid-onset neurological effects, distinct from delayed immunological responses, in patients presenting after Hymenoptera envenomation.