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Case Reports in Emergency Medicine
Volume 2013, Article ID 920928, 2 pages
Case Report

An Isolated Bee Sting Involving Multiple Cranial Nerves

1Emergency Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2Emergency Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Received 16 May 2013; Accepted 18 June 2013

Academic Editors: A. K. Exadaktylos and C.-C. Lai

Copyright © 2013 Hassan Motamed et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hymenoptera stings are self-limiting events or due to allergic reactions. Sometimes envenomation with Hymenoptera can cause rare complications such as acute encephalopathy, peripheral neuritis, acute renal failure, nephrotic syndrome, silent myocardial infarction, rhabdomyolysis, conjunctivitis, corneal infiltration, lens subluxation, and optic neuropathy. The mechanism of peripheral nervous system damage is not clearly known. In our studied case after bee sting on face between the eyebrows with little erythema and  cm in size, bilateral blindness developed and gradually improved. Lateral movement of eyes was restricted with no pain. Involvement of cranial nerves including II, V, and VI was found. With conservative therapy after a year significant improvement has been achieved.