Pseudo-subarachnoid hemorrhage and death after a bee sting.
We report a case of a 33-year-old woman who developed severe brain edema and pseudo-subarachnoid hemorrhage (SAH) at 36-hour follow-up after successful cardiopulmonary resuscitation for anaphylactic shock as a result of a bee sting. The patient died on the sixth day of the follow-up due to multiple organ failure and brain herniation. Our case suggests that the SAH-like findings on computed tomography scanning were not a new complication ("real" SAH) arising from the bee sting; rather, it was a pseudo-SAH related to prolonged cardiopulmonary resuscitation).
1Department of Anesthesiology and Reanimation, 2Department of Radiology,  3Departments of Emergency Medicine; Abant Izzet Baysal University Medical School, Bolu, Turkey.
Umit
U
Yasar Tekelioglu
Abdullah
A
Demirhan
Akcan
A
Akkaya
Kamil
K
Gurel
Tarik
T
Ocak
Arif
A
Duran
Hasan
H
Kocoglu
D000328:Adult; D000707:Anaphylaxis / Q000209:etiology*; D000818:Animals; D001514:Bee Venoms / Q000009:adverse effects*; D001516:Bees; D001929:Brain Edema / Q000209:etiology*; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D004636:Emergency Service, Hospital; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D013345:Subarachnoid Hemorrhage / Q000209:etiology*; D017211:Treatment Failure; D016896:Treatment Outcome
D001514:Bee Venoms