J Korean Neurol Assoc.  2019 Aug;37(3):284-287. 10.17340/jkna.2019.3.284.

Biphasic Anaphylaxis and Delayed onset Cerebellar Ataxia following a Wasp Sting

Affiliations
  • 1Department of Neurology, Gyeongsang National University Changwon Hospital, Changwon, Korea. pkjong@gnu.ac.kr
  • 2Department of Neurology and Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Korea.

Abstract

Anaphylaxis usually develop immediately after wasp sting, but may develop even after few days later. Neurological complications after stings are uncommon, although several cases have been reported involving central and/or peripheral nervous system. Although wasp sting-induced encephalitis has been rarely reported, all reported cases showed mental change and severe neurological deterioration. Herein, we report an atypical case who showed biphasic anaphylaxis and delayed-onset cerebellar ataxia following a wasp sting, characterized by mild cerebellar ataxia and excellent response to corticosteroids.

Keyword

Wasps; Anaphylaxis; Cerebellar ataxia

MeSH Terms

Adrenal Cortex Hormones
Anaphylaxis*
Bites and Stings*
Cerebellar Ataxia*
Encephalitis
Peripheral Nervous System
Wasps*
Adrenal Cortex Hormones
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