Trigeminal neuropathic pain following honeybee sting: a case report

Kahiloğulları, Gökmen; Ugur, Hasan Çağlar; Tatlı, Mehmet; Kanpolat, Yücel

doi:10.5137/1019-5149.jtn.1761-09.1

Cited by 4 publications

(2 citation statements)

References 26 publications

(18 reference statements)

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“…Acute encephalopathy [94,95] Guillain-Barre syndrome [96] Encephalopathy with extrapyramidal symptoms [95] Miller Fisher syndrome Coma with catatonia [95] Trigeminal neuralgia [97] Acute disseminated encephalomyelitis [98] Autoimmune Neuromyotonia [99] Posterior reversible encephalopathy syndrome [100] Myasthenia gravis [101] Table 3 Other organ system effects of wasp stinging…”

Section: Central Nervous System Peripheral Nervous Systemmentioning

confidence: 99%

Clinical manifestations of wasp stings: a case report and a review of literature

Ruwanpathirana

Priyankara²

2022

Trop Med Health

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Background Wasp stinging, a neglected tropical entity can have a myriad of local and systemic effects. We present a case of multi-organ injury following multiple wasp stings and a review of literature on the systemic manifestations of wasp stings. Case presentation A 48-year-old Sri Lankan male who suffered multiple wasp stings, developed an anaphylactic shock with respiratory failure, which was treated with adrenaline and mechanical ventilation. Within the next 2 days the patient developed acute fulminant hepatitis, stage III acute kidney injury, rhabdomyolysis, haemolysis and thrombocytopenia. The patient was treated in the intensive care unit with ionopressors and continuous renal replacement therapy (CRRT). Haemoadsorbant therapy was used in adjunct with CRRT. There was a gradual recovery of the organ functions over the 1st week. However, the patient succumbed to fungal sepsis on the 16th day despite treatment. We conducted a literature review to identify the various clinical manifestations of wasp stinging. Wasp venom contains enzymes, amines, peptides and other compounds. These proteins can cause type 1 hypersensitive reactions ranging from local skin irritation to anaphylactic shock. Furthermore, the toxins can cause direct organ injury or delayed hypersensitivity reactions. The commonly affected organs are the kidneys, liver, and muscles. The effect on the haematological system manifests as coagulopathy and/or cytopenia. The heart, nervous system, lungs, intestines and skin can be affected rarely. Treatment is mainly supportive. Conclusion In conclusion, wasp envenomation can result in multi-organ injury and attention should be paid in doing further research and establishing evidence-based treatment practices.

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Section: Central Nervous System Peripheral Nervous Systemmentioning

confidence: 99%

Clinical manifestations of wasp stings: a case report and a review of literature

Ruwanpathirana

Priyankara²

2022

Trop Med Health

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“…However, some cases of stroke, optic neuritis, and acute disseminated encephalomyelitis are related to bee stings. [1][2][3][4][5][6] Bee stings may cause skin redness, swelling, and pain in mild cases, or multiple organ dysfunction 7 or even anaphylactic shock in severe cases, which need timely treatment. There are many cases of systemic multiple organ dysfunctions after bee sting injuries, but there are very few reports of facial nerve injuries.…”

Section: Introductionmentioning

confidence: 99%

Analysis of a Case of Facial Nerve Injury Caused by Bee Sting in a Child

Li¹,

Xiang²,

Lv³

2023

RMHP

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Background: Bee sting injuries in children are accidental and occur in rural areas in summer and autumn. They have the characteristics of rapid onset, rapid change, many complications, complex treatment, and high disability rate. Patients experience various symptoms, such as vomiting, diarrhea, dyspnea, angioedema, multiple neuritis, myocardial infarction, acute renal failure, hypotension, and collapse. Systemic complications of the nervous system are rare. However, some cases of stroke, optic neuritis, and acute disseminated encephalomyelitis are related to bee stings. There are many cases of systemic multiple organ dysfunctions after bee sting injury, but there are few reports of facial nerve injury. The case presented here was caused by bee venom. This report is important because there are few instances of facial paralysis in the large number of notified bee sting cases. After active treatment, the facial paralysis of the child recovered gradually. Case Presentation: The patient was a 6-year-old boy. The bee stings by bee swarm induced pain in many parts of the body for 8 h. After the injury, he had skin itching, rash, swelling, and pain in the head and face. The boy had soy sauce-colored urine later and was transferred to the Affiliated Hospital of Zunyi Medical University from a lower-level hospital for treatment. On the seventh day after transfer, the child suddenly suffered from deviated mouth, which was considered a delayed facial nerve injury. After active treatment, he recovered from facial paralysis and was discharged from the hospital. Conclusion: This case report adds the clinical manifestation of facial paralysis after bee stings. They require close observation and being alert to possible clinical manifestations, as well as carrying out active intervention treatment.

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