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Alvis-Miranda, Hernando, Duarte-Valdivieso, Nancy, Alcala-Cerra, Gabriel, Moscote-Salazar, Luis. (1392). Brain Infarction: Rare Neurological Presentation of African Bee Stings. سامانه مدیریت نشریات علمی, 2(Issue 1), 59-61.
Hernando Raphael Alvis-Miranda; Nancy Carolina Duarte-Valdivieso; Gabriel Alcala-Cerra; Luis Rafael Moscote-Salazar. "Brain Infarction: Rare Neurological Presentation of African Bee Stings". سامانه مدیریت نشریات علمی, 2, Issue 1, 1392, 59-61.
Alvis-Miranda, Hernando, Duarte-Valdivieso, Nancy, Alcala-Cerra, Gabriel, Moscote-Salazar, Luis. (1392). 'Brain Infarction: Rare Neurological Presentation of African Bee Stings', سامانه مدیریت نشریات علمی, 2(Issue 1), pp. 59-61.
Alvis-Miranda, Hernando, Duarte-Valdivieso, Nancy, Alcala-Cerra, Gabriel, Moscote-Salazar, Luis. Brain Infarction: Rare Neurological Presentation of African Bee Stings. سامانه مدیریت نشریات علمی, 1392; 2(Issue 1): 59-61.

Brain Infarction: Rare Neurological Presentation of African Bee Stings

Bulletin of Emergency And Trauma
مقاله 11، دوره 2، Issue 1، فروردین 2014، صفحه 59-61    اصل مقاله (167.97 K)
نوع مقاله: Case Report
نویسندگان
Hernando Raphael Alvis-Miranda1؛ Nancy Carolina Duarte-Valdivieso2؛ Gabriel Alcala-Cerra1؛ Luis Rafael Moscote-Salazar* 1
1Universidad de Cartagena
2Chang Gung Memorial Hospital at Linkou, Taiwan
چکیده
Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described including local reactions which are common, systemic responses such as anaphylaxis, diffuse intravascular coagulation and hemolysis. We report a case of a 74-year-old man who developed neurologic deficit 5 hours after bee stings, which was confirmed to be left frontal infarction on brain CT-scan. The case does not follow the reported  pattern  of hypovolemic or anaphylactic shock, hemolysis and/or  rhabdomyolysis, despite the potentially lethal amount of venom injected. Diverse mechanisms have been proposed to give an explanation to all the clinical manifestation of both toxic and allergic reactions secondary to bee stings. Currently, the most accepted one state that victims can develop severe syndrome characterized by the release of a large amount of cytokines.
کلیدواژه‌ها
Bee stings؛ Stroke؛ Rhabdomyolysis؛ Shock
مراجع
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  3. Ferreira RS Jr, Almeida RA, Barraviera SR, Barraviera B. Historical perspective and human consequences of Africanized bee stings in the Americas. J Toxicol Environ Health B Crit Rev 2012;15(2):97-108.
  4. Kalyoncu AF, Demir AU, Ozcan U, Ozkuyumcu C, Sahin AA, Bariş YI. Bee and wasp venom allergy in Turkey. Ann Allergy Asthma Immunol 1997;78(4):408-12.
  5. Dikici S, Aydin LY, Saritas A, Kudas O, Kandis H. An unusual presentation of bee sting: subarachnoid hemorrhagia. Am J Emerg Med 2012;30(8):1663.e5-6.
  6. Rajendiran C, Puvanalingam A, Thangam D, Ragunanthanan S, Ramesh D, Venkatesan S, et al. Stroke after multiple bee sting. J Assoc Physicians India 2012;60:122-4.
  7. Jain J, Banait S, Srivastava AK, Lodhe R. Stroke intracerebral multiple infarcts: Rare neurological presentation of honey bee bite. Ann Indian Acad Neurol 2012;15(2):163-6.
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