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Bee sting leading to stroke: a case report and review of the literature
  1. Shivakumar K Masaraddi1,
  2. Rohan J Desai1,
  3. Swanit Hemant Deshpande2 and
  4. Sameet Patel2
  1. 1General Medicine, BVVS S Nijalingappa Medical College and HSK Hospital and Research Centre, Bagalkot, Karnataka, India
  2. 2General Surgery, BYL Nair Charitable Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Swanit Hemant Deshpande; swanitdesh{at}gmail.com

Abstract

In India, bee stings are very common, seen mainly in farmers and honey collectors. Usually, it presents with local reactions and anaphylaxis. It rarely requires urgent hospitalisation. Other major complications seen are acute renal failure, intravascular coagulation, rhabdomyolysis and acute pulmonary oedema. Stroke as a presentation is uncommon. We report a case of a 45-year-old man presenting with right-sided hemiplegia and aphasia due to multiple bee stings. Diffusion MRI showed left middle cerebral artery territory hyperacute infarct.

  • neurology
  • general practice / family medicine
  • medical management

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Footnotes

  • Twitter @swanitdeshpande

  • Contributors SKM: Conceptualised the work, treating physician and decision-making in the patient management and final editing of the manuscript. RJD: Drafted the primary manuscript, significant contribution in management of the case and significant contribution in review of the literature. SHD: Edited the manuscript, significant contribution in intellectual inputs and final editing of the manuscript. SP: Attending physician to the patient at Nair Hospital, defined the treatment protocol and reviewed the literature.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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