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The Rodent Model of Nonarteritic Anterior Ischemic Optic Neuropathy (rNAION)

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[Optic neuritis after a bee sting].

Rosanna de Carmen Zambrano-Infantino¹, Jean Félix Piñieríia-Gonsálvez, César Montaño

¹Servicio de Medicina Interna, Hospital Dr. Héctor Nouel Joubert, IVSS. rosannamedicina@hotmail.com

Investigacion Clinica

|August 17, 2013

Summary

A bee sting triggered optic neuritis, an optic nerve inflammation, in a 62-year-old woman. Prompt treatment with methylprednisolone led to rapid visual recovery, highlighting a rare but treatable complication of hymenoptera stings.

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Area of Science:

Ophthalmology
Neurology
Toxicology

Background:

Optic neuritis is optic nerve inflammation, often idiopathic but can be associated with infections or immune disorders.
Hymenoptera stings (bees, wasps, ants) can cause diverse systemic effects, including neurological complications like optic neuritis.

Observation:

A 62-year-old woman developed bilateral decreased visual acuity, central scotoma, headache, and eye pain three days post-bee sting.
Ophthalmological exam revealed blurred optic discs; ocular MRI showed left optic nerve hyperintensity and thickening.
The patient's symptoms and history strongly suggested bilateral optic neuritis secondary to the bee sting.

Findings:

The patient was diagnosed with bilateral optic neuritis following a bee sting.
Treatment with intravenous methylprednisolone (1g/day for three days) resulted in significant clinical improvement within 24 hours.

Implications:

This case underscores the potential for hymenoptera stings to induce optic neuritis, a condition historically documented since 1960.
Early diagnosis and corticosteroid treatment appear effective in managing bee sting-associated optic neuritis, leading to favorable visual outcomes.