A rare neurological manifestation of seizure in a case of anaphylaxis following a hornet sting: case report & literature review

Öz

Anaphylaxis is a severe, life-threatening allergic reaction that can present with a variety of systemic manifestations. Neurological symptoms such as seizures or seizure-like activity are uncommon in anaphylaxis. We present the case of a healthy young male with no history of seizures who experienced anaphylaxis following a hornet sting, manifested by urticarial rashes, facial flushing, and generalized pruritus. Interestingly, he developed seizure-like activity, characterized by focal jerky movement of the left upper limb with impaired consciousness as reported by eyewitnesses. This case highlights the atypical presentation of neurological manifestations of anaphylaxis, discusses its potential pathophysiological mechanisms, and reflecting individualized management approach in relation to established guidelines.

Anahtar Kelimeler

• Anaphylaxis
• wasp sting
• hornet sting
• seizure
• neurological manifestations

Eşek arısı sokmasına bağlı anafilaksi vakasında nadir bir nörolojik bulgusu olarak nöbet: olgu sunumu ve literatür incelemesi

Öz

Anafilaksi, çeşitli sistemik belirtilerle ortaya çıkabilen, şiddetli ve yaşamı tehdit eden bir alerjik reaksiyondur. Nörolojik semptomlar, örneğin nöbetler veya nöbet benzeri aktiviteler, anafilakside nadir görülür.
Bu yazıda, eşek arısı sokması sonrası anafilaksi gelişen, nöbet öyküsü olmayan sağlıklı bir genç erkek olgusu sunulmaktadır. Hastada ürtiker döküntüleri, yüzde kızarıklık ve yaygın kaşıntı şeklinde belirtiler gelişmiştir. İlginç bir şekilde, görgü tanıklarının aktardığına göre, bilinç bozukluğu ile birlikte sol üst ekstremitede fokal sarsıntılı hareketlerle karakterize nöbet benzeri bir aktivite gözlemlenmiştir. Bu olgu, anafilaksinin atipik nörolojik belirtilerle seyredebildiğini vurgulamakta ve bu semptomların olası patofizyolojik mekanizmaları üzerine tartışma sunmaktadır.

Anahtar Kelimeler

• Anafilaksi
• yaban arısı sokması
• eşek arısı sokması
• nöbet
• nörolojik bulgular

Kaynakça

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