title: Acute disseminated encephalomyelitis after bee sting.
abstract: Acute disseminated encephalomyelitis (ADEM) usually follows a viral infection or an immunization and is thought to be an immunomediated disease. We describe a patient with ADEM after multiple yellow jacket bee stings. The patient recovered after treatment with a high dose of methylprednisolone. Although the pathologic mechanism exact remains unclear, potential cross-reactivity between bee toxins and the central nervous system myelin could induce demyelination. ADEM should be considered a rare complication of bee stings.
authors.affiliation: Department of Neurology, Medical Faculty of Karadeniz Technical University, 61080 Trabzon, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Boz
authors.forename: S
authors.initials: S
authors.lastname: Velioglu
authors.forename: M
authors.initials: M
authors.lastname: Ozmenoglu
mesh_terms: D000818:Animals; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001516:Bees; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D003711:Demyelinating Diseases / Q000209:etiology; D004673:Encephalomyelitis, Acute Disseminated / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D011859:Radiography
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone