PMID- 36817263
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230224
IS  - 1426-3912 (Print)
IS  - 1644-4124 (Electronic)
IS  - 1426-3912 (Linking)
VI  - 47
IP  - 3
DP  - 2022
TI  - Ischemic stroke as a rare complication of wasp venom allergy: two clinical 
      scenarios.
PG  - 288-291
LID - 10.5114/ceji.2022.119153 [doi]
AB  - Neurological complications after a single Hymenoptera insect sting are very rare. 
      The authors of this paper describe two instances of cerebral ischemic stroke that 
      occurred immediately after a wasp sting. Two distinct pathomechanisms involved in 
      the cases are put forward. When diagnosing such cases, it is vital to rule out 
      the possibility of an immunoglobulin E (IgE)-dependent reaction of 
      hypersensitivity. However, if sIgE antibodies against wasp venom extract and/or 
      its allergenic components are detected, after hospitalization the patient should 
      be qualified for venom immunotherapy, which is the only efficient method of 
      protection from severe allergic reactions caused by an insect sting. Although the 
      incidence of ischemic stroke in patients stung by insects is very low, it is 
      important to be aware of this complication. This will allow rapid implementation 
      of appropriate diagnostics and treatment. The optimal stroke treatment 
      (thrombolysis or mechanical thrombectomy) in these rare cases has not yet been 
      established.
CI  - Copyright (c) 2022 Termedia.
FAU - Nittner-Marszalska, Marita
AU  - Nittner-Marszalska M
AD  - Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical 
      University, Poland.
FAU - Guranski, Konstanty
AU  - Guranski K
AD  - Department of Neurology, Wroclaw Medical University, Poland.
FAU - Bladowska, Joanna
AU  - Bladowska J
AD  - Department of Radiology, Wroclaw Medical University, Poland.
FAU - Kopec, Agnieszka
AU  - Kopec A
AD  - Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical 
      University, Poland.
FAU - Ejma, Maria
AU  - Ejma M
AD  - Department of Neurology, Wroclaw Medical University, Poland.
LA  - eng
PT  - Case Reports
DEP - 20220906
PL  - Poland
TA  - Cent Eur J Immunol
JT  - Central-European journal of immunology
JID - 9702239
PMC - PMC9896982
OTO - NOTNLM
OT  - ischemic stroke
OT  - venom immunotherapy
OT  - wasp sting
OT  - wasp venom allergy
COIS- The authors declare no conflict of interest.
EDAT- 2023/02/24 06:00
MHDA- 2023/02/24 06:01
PMCR- 2022/01/01
CRDT- 2023/02/23 09:33
PHST- 2022/03/17 00:00 [received]
PHST- 2022/07/29 00:00 [accepted]
PHST- 2023/02/23 09:33 [entrez]
PHST- 2023/02/24 06:00 [pubmed]
PHST- 2023/02/24 06:01 [medline]
PHST- 2022/01/01 00:00 [pmc-release]
AID - 47726 [pii]
AID - 10.5114/ceji.2022.119153 [doi]
PST - ppublish
SO  - Cent Eur J Immunol. 2022;47(3):288-291. doi: 10.5114/ceji.2022.119153. Epub 2022 
      Sep 6.