Asian Journal of Case Reports in Medicine and Health

Multiple Cerebral Infarcts: A Rare and Delayed Presentation of Honeybee Sting Bite

Kasturi Shweshikaa Reddy

Department of Pharm-D, CMR College of Pharmacy, Medchal, Hyderabad, India.

Vankodoth Sireesha *

Department of Pharm-D, CMR College of Pharmacy, Medchal, Hyderabad, India.

Ruthala Lavanya

Department of Pharm-D, CMR College of Pharmacy, Medchal, Hyderabad, India.

Cheppalli Vani

Department of Pharmacy Practice, Chitkara College of pharmacy, Rajpura, Punjab, India.

Gopikrishna lunavath

General Medicine, Gandhi Hospital, Secunderabad, Telangana, India.

*Author to whom correspondence should be addressed.

---

Abstract

In emergencies, we encounter many local and allergic reactions associated with bee stings, but the venom of a bee sting can also cause neurovascular complications very rarely. We here discuss a case of a 53-year-old woman who was stung by a group of bees her on face and back and presented with swelling and itching of the face and 1 episode of Generalised Tonic Clonic Seizures type seizures followed by right upper limb and lower limb weakness 10 hours later. MRI brain revealed multiple acute bilateral frontal, parietal-occipital lobes, and basal ganglia infarcts.

Keywords: Bee sting, generalised tonic-clonic seizures, MRI brain, infarct

---

---

---

References

Jain J, Banait S, Srivastava A, and Lodhe R. Stroke intracerebral multiple infarcts: Rare neurological presentation of honey bee bite. Annals of Indian Academy of Neurology. 2012;15(2):16

Gupta A. Acute Fatal Stroke Associated with Honeybee Sting. Journal of neurology & neuromedicine. 2019;5 (1):18–21.

Haq T, Elavarasi A, Thahira T, Bineesh C, Kancharla L. Acute ischemic stroke due to multiple bee stings_A delayed complication. Annals of Indian Academy of Neurology. 2020;23(1):135–6.

Yang S, Wellington J, Chen J, Regenhardt RW, Chen AY, Li G, et al. Cerebral infarction following bee stings: Case report and literature review. Translational Neuroscience. 2022;13(1):163–71.

Murat G. Stroke as a very rare complication of multiple bee sting: A case report. Archives in Neurology & Neuroscience. 2020;7(2).

Balagopal K, Muraleedharan A, Koshy A, Jacob J. Cerebral infarction following a bee sting. Indian Journal of Medical Specialities. 2021;12(2)

Arboix A, Jiménez C, Massons J, Parra O, Besses C. Hematological disorders: A commonly unrecognized cause of acute stroke. Expert Rev Hematol [Internet]. 2016;9(9):891–901.

[cited 2023 Jul 15]