Ischemic stroke as a rare complication of wasp venom allergy: two clinical scenarios

Marita Nittner-Marszalska; Konstanty Guranski; Joanna Bladowska; Agnieszka Kopeć; Maria Ejma

doi:10.5114/ceji.2022.119153

eISSN: 1644-4124
ISSN: 1426-3912

Central European Journal of Immunology

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3/2022
vol. 47

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abstract:

Case report

Ischemic stroke as a rare complication of wasp venom allergy: two clinical scenarios

Marita Nittner-Marszalska

¹

,

Konstanty Guranski

²

,

Joanna Bladowska

³

,

Agnieszka Kopeć

¹

,

Maria Ejma

²

Department of Internal Medicine, Pneumology and Allergology, Wroclaw Medical University, Poland
Department of Neurology, Wroclaw Medical University, Poland
Department of Radiology, Wroclaw Medical University, Poland

Cent Eur J Immunol 2022; 47 (3): 288-291

DOI: https://doi.org/10.5114/ceji.2022.119153

Online publish date: 2022/09/06

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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.

keywords:

Ischemic stroke as a rare complication of wasp venom allergy: two clinical scenarios

Marita Nittner-Marszalska 1 , Konstanty Guranski 2 , Joanna Bladowska 3 , Agnieszka Kopeć 1 , Maria Ejma 2

ischemic stroke, venom immunotherapy, wasp venom allergy, wasp sting

Marita Nittner-Marszalska

¹

,

Konstanty Guranski

²

,

Joanna Bladowska

³

,

Agnieszka Kopeć

¹

,

Maria Ejma

²