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. 2018 Jan;8(1):29-30.
doi: 10.1177/1941874417697029. Epub 2017 Mar 6.

Envenomation Seizures

Ghulam Abbas Kharal  1 , Richard Ryan Darby  1 , Adam B Cohen  1
Affiliations

Envenomation Seizures

Ghulam Abbas Kharal et al. Neurohospitalist. 2018 Jan.

Abstract

Insect sting-related envenomation rarely produces seizures. We present a patient with confusion and seizures that began 24 hours after a yellow jacket (wasp) sting. Given the rapid onset and resolution of symptoms, as well as accompanying dermatological and orbital features, and the lack of any infectious or structural abnormalities identified, the toxic effect of the wasp venom (and related anaphylaxis reaction) was believed to be the cause of his presentation.

Keywords: anaphylaxis; bee sting; epilepsy; global health; seizures; wasp; yellow jacket.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Ten centimeter area of erythema and swelling, with red central punctate nonblanching focus, on the right arm at the bee sting site.
Figure 2.
Figure 2.
Petechial rash on chest, neck, and shoulders.
See this image and copyright information in PMC

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