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Wasp bites can give rise to multiple clinical manifestations ranging from local reactions to multisystem involvement. Stroke and myocardial infarctions following wasp envenomation are reported in the literature. We describe a rare case of brachial artery thrombosis following multiple wasp bites.

Non-ketotic hyperglycemic hemichorea (NHH) is a rare phenomenon occurring in patients with type II diabetes mellitus. The exact mechanisms for NHH is unclear. There are several proposed mechanisms involving GABA pathways. We report a case of a 63-year-old female who presented with Choreiform movements with characteristic CT changes of NHH, whose abnormal movements rapidly resolved with good glycaemic control.

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Castleman disease is a heterogeneous group of disorders of lymphoid tissue. It can often mimic other autoimmune diseases or malignancies, presenting a diagnostic dilemma to attending clinicians. Systemic lupus erythematosus and Castleman disease share many clinical and biochemical features rendering a special diagnostic challenge. Herein, we report a case of a young female who initially presented with features of idiopathic multicentric Castleman disease, subsequently developed antinuclear antibody positivity, and fulfilled the criteria for the diagnosis of systemic lupus erythematosus. Following the commencement of treatment for systemic lupus erythematosus, she had a marked response with resolution of altered clinical and biochemical profile.

Wasp bite can give rise to variety of clinical symptoms from local reactions to systemic effects such as anaphylaxis and vascular thrombosis. Neurological manifestations like strokes are rare in wasp bites. Pathophysiology of vascular involvement following wasp bite is yet not well known but presumed to be multifactorial. A 40-year-old previously healthy woman presented with multiple wasp bites on face. On admission she was stable without any haemodynamic instability or neurological deficit. Next day she developed a left temporoparietal infarction. Screening for other contributory factors were negative.