Stroke After Bee Sting in a Child

Abstract

Objective: Local allergic reactions are frequently seen after a bee sting. Serious clinical findings can be rarely observed insensitive individuals. We present a 14 year old boy who developed basilar artery thrombosis after bee sting.Methods: The patient's clinical complaints, examination findings, laboratory and imaging results, follow-up and treatment resultswere evaluated.Results: Six hour later after bee sting, symptoms started with blurred vision, headache, dizziness, and vomiting. Neurologicexamination revealed gait and speech abnormalities, left central facial paralysis, oculomotor and abducens cranial nerve palsiesand confusion. Brain magnetic resonance imaging showed ischemic areas with limited diffusion in the cerebellar hemispheres andin the upper part of the vermis, in the anterior part of the right half of the mesencephalon. Brain computer tomographyangiography showed thrombosis in basiler and bilateral superior cerebellar arteries. Exclusive examinations for thrombosis did notreveal a pathologic finding. The patient was treated with low molecular weight heparin and acetylsalicylic acid. The patient wasdischarged with mild sequelae of left eye ptosis.Conclusions: Although allergic reactions related to bee stings are frequently reported in childhood, rare presentations such asvenous sinus thrombosis and stroke should be considered in case of unexpected neurological signs and symptoms. The exactmechanism of thrombosis in cases occury after bee sting is unknown.Keywords:child, bee sting, thrombosis, stroke</p

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