Stroke intracerebral multiple infarcts: Rare neurological presentation of honey bee bite.

Annals of Indian Academy of Neurology
Jyoti JainRahul Lodhe

Abstract

Honey-bee bites which require urgent hospitalization is very rare. It is mainly seen as occupational hazards in farmers, tree dwellers and honey collectors. Common clinical presentation includes minor localized reactions in form of swelling and redness sometimes anaphylactic reaction. Infrequent major complications reported from different studies include rhabdomyolysis, acute renal failure (ARF), acute pulmonary edema, intravascular coagulation, encephalopathy and very rarely cerebral haemorrhage. Stroke due to multiple intra- cerebral infarcts along with rhabdomyolysis in patient of honey-bee bite is rare neurological complication. We report a case of 70 year man with honey-bee bite and multiple intracerebral infarcts presented as stroke, and rhabdomyolysis and ARF. When a patient presented with honey-bee bite, one should suspect serious complications. Despite advances in the understanding of pathophysiology its complications remains enigmatic and in some instances may be multifactorial. Various therapeutic interventions if started early after diagnosis reduces the possible consequences as potential reversibility of the illness.

References

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Citations

Aug 25, 2012·Annals of Indian Academy of Neurology·P JithendranathJames Jose
Mar 10, 2016·Neurology India·Rohan MahaleRangasetty Srinivasa
May 30, 2020·BMJ Case Reports·Anil Frank Ramlackhansingh, Naveen Seecheran
Jul 12, 2020·International Journal of Environmental Research and Public Health·Giulio ArcangeliNicola Mucci

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