Massive cerebral infarct following multiple honeybee stings.

Namal Rathnayaka,S A M Kularatne,Bandusiri Rathnayaka,Anusha Nishanthi Ranathunga

doi:10.4038/cmj.v66i3.9494

Abstract

Ceylon Medical Journal (CMJ) is a peer-reviewed, open access journal published quarterly by the Sri Lanka Medical Association in the last week of March, June, September and December each year. The mission of the CMJ is to promote the science and art of medicine and betterment of public health. The Journal publishes original papers and commentaries which have relevance to medicine and allied sciences. The CMJ is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.

Highlights

Bees belong to the class insects, to the order Hymenoptera and to the family Apidae
A 63-year-old previously healthy male tea estate worker was admitted to medical ward following multiple honeybee stings (> 30) in the whole-body including face, chest, abdomen and limbs while he was working in a tea estate at about 2.30 PM
In Sri Lanka, most of the Hymenoptera stings are caused by bees and wasps [2,3,4]

Summary

Introduction

Bees belong to the class insects, to the order Hymenoptera and to the family Apidae. The order Hymenoptera includes the bees, wasps and ants. A 63-year-old previously healthy male tea estate worker was admitted to medical ward following multiple honeybee stings (> 30) in the whole-body including face, chest, abdomen and limbs while he was working in a tea estate at about 2.30 PM. He had education up to the grade 5 and was an occasional smoker and alcoholic. The initial non-contrast computed tomography of brain done at 10 hours after the stings showed ischemic infarct of left cerebral hemisphere and repeat scan done at 44 hours due to deterioration of neurological signs revealed spreading of the infarction involving the left middle cerebral arterial territory (Figure 1) He was started aspirin 300 mg and clopidogrel 75 mg per night with atorvastatin 40 mg and losartan potassium 25 mg twice daily.

Discussion

Findings

Conclusion