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Multiple cerebral infarctions with severe multi-organ dysfunction following multiple wasp stings.

Mushtaq Wani¹, Sheikh Saleem¹, Sawan Verma¹

¹Department of Neurology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Annals of Indian Academy of Neurology

|April 23, 2014

Summary

Multiple wasp stings can cause severe multi-organ dysfunction, including stroke. This case highlights the critical systemic effects of insect stings beyond local reactions, emphasizing the need for prompt medical evaluation.

Keywords:

Disseminated Intravascular Coagulation stroke wasp sting

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Area of Science:

Toxicology
Neurology
Emergency Medicine

Background:

Wasp and bee stings are frequent global occurrences.
Most stings result in localized, self-limiting reactions.
Severe systemic effects, though rare, can be life-threatening.

Observation:

A 40-year-old male presented with stroke and right hemiparesis.
The patient experienced severe multi-organ dysfunction.
These severe symptoms were directly attributed to multiple wasp stings.

Findings:

Multiple insect stings can trigger a cascade of systemic complications.
Stroke and multi-organ failure are potential, albeit rare, outcomes of severe envenomation.
This case underscores the significant neurotoxic and systemic impact of wasp venom.

Implications:

Clinicians should consider severe systemic toxicity in patients with multiple insect stings, even without a history of allergy.
Prompt recognition and management of systemic effects are crucial for improving patient outcomes.
Further research into the mechanisms of severe systemic reactions to insect stings is warranted.