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Published on: July 31, 2014
Middle cerebral artery infarct following multiple bee stings
Stalin Viswanathan1, Vivekanandan Muthu, Ajai P Singh
1Department of Internal Medicine, Pondicherry Institute of Medical Sciences, Pondicherry. stalby@gmail.com
Summary
Neurologic events after bee stings are rare. A man experienced stroke symptoms, including hemiplegia and speech difficulties, following multiple bee stings, highlighting a rare but serious complication.
Area of Science:
- Neurology
- Toxicology
Background:
- Neurologic complications following hymenoptera stings are exceptionally rare.
- Bee stings can trigger diverse systemic reactions, but central nervous system involvement is infrequently reported.
Observation:
- A 59-year-old male presented with drowsiness and slurred speech post-multiple bee stings.
- Clinical examination revealed left-sided hemiplegia, seventh cranial nerve palsy, and left conjugate gaze palsy.
Findings:
- Neuroimaging confirmed a middle cerebral artery territory infarct.
- Metabolic workup identified dyslipidemia and impaired glucose tolerance.
- The patient's neurologic deficits showed improvement prior to hospital discharge.
Implications:
- This case underscores the potential for severe neurologic events, including ischemic stroke, following bee stings.
- It highlights the importance of considering cerebrovascular accidents in patients with neurologic deficits after insect stings.
- Coexisting metabolic conditions may influence the risk or severity of such rare neurologic sequelae.
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