Insect sting-related envenomation rarely produces seizures. We present a patient with confusion and seizures that began 24 hours after a yellow jacket (wasp) sting. Given the rapid onset and resolution of symptoms, as well as accompanying dermatological and orbital features, and the lack of any infectious or structural abnormalities identified, the toxic effect of the wasp venom (and related anaphylaxis reaction) was believed to be the cause of his presentation.
DikiciSAydinLYSaritasAKudasOKandisH. An unusual presentation of bee sting: subarachnoid hemorrhagia. Am J Emerg Med. 2012;30(8):1663.e5–1663.e6.
4.
Jimenez-SandersRBehrouzRTsakadzeN. Allergic encephalitis with gelastic status epilepticus induced by wasp sting. Neurol Neuroimmunol Neuroinflamm. 2015;2(4):e114.
5.
RidoloEAlbertiniRBorghiLMeschiTMontanariEDall’AglioPP. Acute polyradiculoneuropathy occurring after hymenoptera stings: a clinical case study. Int J Immunopathol Pharmacol. 2005;18(2):385–390.
6.
VetterRSVisscherPKCamazineS. Mass envenomations by honey bees and wasps. Western J Med. 1999;170(4):223–227.
