Acute disseminated encephalomyelitis after bee sting

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. Alth...

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Bibliographic Details
Published in:Neurological sciences 2003-02, Vol.23 (6), p.313-315
Main Authors: Boz, C, Velioglu, S, Ozmenoglu, M
Format: Article
Language:English
Subjects:
Animals
Anti-Inflammatory Agents - therapeutic use
Bees
Brain - diagnostic imaging
Brain - pathology
Demyelinating Diseases - etiology
Encephalomyelitis, Acute Disseminated - diagnostic imaging
Encephalomyelitis, Acute Disseminated - drug therapy
Encephalomyelitis, Acute Disseminated - etiology
Female
Humans
Insect Bites and Stings - complications
Magnetic Resonance Imaging
Methylprednisolone - therapeutic use
Middle Aged
Neurology
Neurosciences
Radiography
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Description
Summary: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.
ISSN:1590-1874
1590-3478
DOI:10.1007/s100720300007