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Ischemic Stroke After Wasp Sting.

Ashish Kulhari¹, Ashley Rogers¹, Han Wang¹

¹Department of Neurology, University Hospitals Case Medical Center, Cleveland, Ohio.

The Journal of Emergency Medicine

|August 23, 2016

Summary

This summary is machine-generated.

A rare case of ischemic stroke occurred in a healthy male following a wasp sting. This highlights the potential for severe neurologic complications from hymenopteran stings, necessitating emergency physician awareness.

Keywords:

ischemic stroke wasp

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Area of Science:

Neurology
Immunology
Toxicology

Background:

Hymenopteran stings are common globally, but primary neurologic complications like stroke are exceptionally rare.
This case report details a rare instance of ischemic stroke following an insect sting.

Observation:

A 44-year-old man experienced sudden left-sided weakness and facial droop after a wasp sting.
Brain imaging confirmed a right middle cerebral artery (MCA) territory infarct and revealed widespread vasoconstriction.

Findings:

The patient presented with symptoms consistent with an MCA stroke post-wasp sting.
Elevated serum wasp immunoglobulin E levels suggest an immunologic reaction triggered the stroke.
The patient showed partial recovery with aspirin and atorvastatin therapy.

Implications:

Emergency physicians must consider rare neurologic complications, such as stroke, in patients presenting after hymenopteran stings.
This case underscores the need for further research into the pathophysiology and management of stroke secondary to insect stings.
The findings suggest a potential link between hymenopteran venom exposure and cerebrovascular events.