title: Brain Infarction: Rare Neurological Presentation of African Bee Stings.
abstract: Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described including local reactions which are common, systemic responses such as anaphylaxis, diffuse intravascular coagulation and hemolysis. We report a case of a 74-year-old man who developed neurologic deficit 5 hours after bee stings, which was confirmed to be left frontal infarction on brain CT-scan. The case does not follow the reported  pattern  of hypovolemic or anaphylactic shock, hemolysis and/or  rhabdomyolysis, despite the potentially lethal amount of venom injected. Diverse mechanisms have been proposed to give an explanation to all the clinical manifestation of both toxic and allergic reactions secondary to bee stings. Currently, the most accepted one state that victims can develop severe syndrome characterized by the release of a large amount of cytokines.
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Hernando Raphael
authors.initials: HR
authors.lastname: Alvis-Miranda
authors.affiliation: Chang Gung Memorial Hospital, Linkou, Taiwan.
authors.forename: Nancy Carolina
authors.initials: NC
authors.lastname: Duarte-Valdivieso
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Alcala-Cerra
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Luis Rafael
authors.initials: LR
authors.lastname: Moscote-Salazar
keywords: Bee stings; Rhabdomyolysis; Shock; Stroke