Acute axonal polyneuropathy following honey-bee sting: a case report.
Hymenoptera stings lead to a myriad of neurologic manifestations by the mechanism of immediate or delayed hypersensitivity reactions. The more common form of polyneuropathy associated with these stings is the acute inflammatory demyelinating type. We describe a 6-year-old girl, who developed progressive, symmetrical, ascending weakness within 3 days after a bee sting. Serial nerve conduction studies confirmed acute, motor-predominant axonal polyneuropathy. Use of intravenous immunoglobulin induced halt of progression, prompt stabilization and a gradual recovery. This case highlights that even a single honey-bee sting can result in acute-onset axonal variety of polyneuropathy in children.
1Unit of Pediatric Neurology and Neurodevelopment, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Arushi Gahlot
AG
Saini
Naveen
N
Sankhyan
Renu
R
Suthar
Pratibha
P
Singhi
D002648:Child; D005260:Female; D006722:Honey; D006801:Humans; D007136:Immunoglobulins / Q000627:therapeutic use; D007299:Insect Bites and Stings / Q000150:complications*; D009431:Neural Conduction / Q000502:physiology; D010523:Peripheral Nervous System Diseases / Q000188:drug therapy / Q000209:etiology*; D013997:Time Factors
D007136:Immunoglobulins
AMAN; Guillain-Barrè syndrome; envenomation; hymenoptera; toxic neuropathy