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It is stated that four people die in the United Kingdom every year from anaphylactic reactions to wasp and bee stings.1However, long term sequelae, including neurological complications, are rare. We report on a young woman who sustained a stroke after a wasp sting and review the literature with particular reference to possible underlying mechanisms of stroke.
A 30 year old woman was seen in a casualty department, 45 minutes after a wasp sting on her left arm. She complained of immediate localised itch, followed by facial and arm swelling and widespread pruritis. She was noted to have a normal conscious level and widespread urticaria and her blood pressure at admission was 90/50. An intravenous infusion of gelofusine was started and she was given subcutaneous adrenaline …