Acute ischaemic stroke as a rare complication of multiple wasp bites

Wasp bite can give rise to variety of clinical symptoms from local reactions to systemic effects such as anaphylaxis and vascular thrombosis. Neurological manifestations like strokes are rare in wasp bites. Pathophysiology of vascular involvement following wasp bite is yet not well known but presumed to be multifactorial.

 

A 40-year-old previously healthy woman presented with multiple wasp bites on face. On admission she was stable without any haemodynamic instability or neurological deficit. Next day she developed a left temporoparietal infarction. Screening for other contributory factors were negative.