An unusual presentation of bee sting: subarachnoid hemorrhagia

• Published in: The American journal of emergency medicine Vol. 30; no. 8; pp. 1663.e5 - 1663.e6
• Main Authors: Dikici, Suber, Aydin, Leyla Yilmaz, Saritas, Ayhan, Kudas, Ozlem, Kandis, Hayati
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-10-2012; Elsevier Limited
• Subjects: Animals; Bees; Consciousness; Emergency; Emergency medical care; Emergency Service, Hospital; Heart attacks; Hemophilia; Hospitals; Humans; Insect bites; Insect Bites and Stings - complications; Intensive care; Male; Middle Aged; Poisons; Radiography; Seizures - etiology; Subarachnoid Hemorrhage - diagnostic imaging; Subarachnoid Hemorrhage - etiology; Tomography
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2011.09.012

A person consists of a variety of immune reactions as a result of bee stings, depending on his/her immunologic structure. A 49-year-old male patient was brought to the emergency department because of generalized tonic clonic seizure and loss of consciousness after an hour of wild bee bite from the anterior abdomen in a rural area. After cardiopulmonary resuscitation, he was admitted to intensive care unit. Although cranial computed tomography taken in the emergency department was normal, control cranial computed tomography at the 36th hour after admission was consisted with subarachnoid hemorrhagia (SAH). The patient was diagnosed as SAH due to exposure to bee stings. The patient was treated for a month in an intensive care unit and discharged in a vegetative state. We present and discuss the case that had epileptic seizures and SAH after a bee bite, with the review of the literature.