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Cerebral infarction: a rare complication of wasp sting
  1. FRANCESCA CRAWLEY,
  2. FRED SCHON
  1. Department of Neurology, Atkinson Morley’s Hospital, London, UK
  2. Division of Clinical Neuroscience, St George’s Hospital Medical School, London, UK
  1. Dr Fred Schon, Consultant Neurologist, Atkinson Morley’s Hospital, London SW20, UK
  1. MARTIN M BROWN
  1. Department of Neurology, Atkinson Morley’s Hospital, London, UK
  2. Division of Clinical Neuroscience, St George’s Hospital Medical School, London, UK
  1. Dr Fred Schon, Consultant Neurologist, Atkinson Morley’s Hospital, London SW20, UK

https://doi.org/10.1136/jnnp.66.4.550

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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.

    Computerised tomogram showing left occipital infarct.

    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 …

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