Acute ischemic stroke and severe multiorgan dysfunction due to multiple bee stings

Murat Guzel; Handan Akar; Ali Kemal Erenler; Ahmet Baydin; Abdulcelil Kayabas

doi:10.1016/j.tjem.2015.02.002

Murat Guzel¹, Handan Akar², Ali Kemal Erenler¹, Ahmet Baydin¹, Abdulcelil Kayabas³

¹Department of Emergency Medicine, Samsun Training and Research Hospital, Samsun, Turkey
²Department of Neurology, Samsun Training and Research Hospital, Samsun, Turkey
³Department of Internal Medicine, Samsun Training and Research Hospital, Samsun, Turkey

Keywords: Bee sting; Acute stroke; Emergency department

Abstract

Various manifestations after bee sting have been described. Local reactions, such as pain, wheal, flare, edema and swelling, are common and generally self-limiting. Uncommonly manifestations like vomiting, diarrhea, dyspnea, generalized edema, acute renal failure, anaphylactic shock, myocardial infarction, hypotension, collapse, pulmonary hemorrhage, acute hemorrhagic pancreatitis, and atrial fibrillation may occur. We report a 59 year-old man who sustained ischemic stroke and multi-organ dysfunction following multiple bee stings.