{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:23:51Z","timestamp":1787844231015,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Wasp stings are seen routinely in emergency setup, especially in developing countries. They result in varied manifestations, including both local and systemic reactions. Neurological complications, like stroke, are infrequent in the presentation. A 40-year-old healthy male presented with two episodes of generalized tonic-clonic seizures with left dense hemiplegia after 6 h of massive wasp stings. Local manifestations of urticaria, redness, and itching were present over the face, neck, and upper limbs. Magnetic resonance imaging showed massive infarct in the anterior and middle cerebral artery regions with right internal carotid artery thrombosis. An echocardiogram showed severe left ventricular dysfunction with no evidence of clot, and the carotid duplex study was normal. Systemic manifestations such as anaphylactic shock, stroke, and myocarditis are rare, fatal, and life-threatening. We must be aware of these most unusual and possible complications following a hymenopteran sting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/bc.bc_33_20","type":"journal-article","created":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T04:49:25Z","timestamp":1622263765000},"page":"132-134","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Wasp sting \u2013 Causing a fatal menace"],"prefix":"10.4103","volume":"7","author":[{"given":"Madhavi","family":"Karri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balakrishnan","family":"Ramasamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santhosh","family":"Perumal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik Thamarai","family":"Kannan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240830","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1136\/bmj.316.7142.1442","article-title":"ABC of allergies: Anaphylaxis","volume":"316","author":"Ewan","year":"1998","journal-title":"BMJ"},{"key":"R2-12-20240830","first-page":"13","article-title":"Cerebral infarction as a rare complication of wasp sting","volume":"9","author":"Moein","year":"2017","journal-title":"J Vasc Interv Neurol"},{"key":"R3-12-20240830","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1021\/pr4009139","article-title":"Proteome and allergenome of Asian wasp, Vespa affinis, venom and IgE reactivity of the venom components","volume":"13","author":"Sookrung","year":"2014","journal-title":"J Proteome Res"},{"key":"R4-12-20240830","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/0002-8703(94)90282-8","article-title":"Acute myocardial infarction after wasp stings in a patient with normal coronary arteries","volume":"128","author":"Wagdi","year":"1994","journal-title":"Am Heart J"},{"key":"R5-12-20240830","doi-asserted-by":"crossref","first-page":"2120","DOI":"10.1001\/jama.1976.03260450032026","article-title":"Myasthenia gravis associated with wasp sting","volume":"235","author":"Brumlik","year":"1976","journal-title":"JAMA"},{"key":"R6-12-20240830","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1001\/jama.1960.73020330011014","article-title":"Neuritis occurring after insect stings","volume":"173","author":"Goldstein","year":"1960","journal-title":"J Am Med Assoc"},{"key":"R7-12-20240830","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1001\/jama.1964.03060380051017","article-title":"Encephalopathy and papilledema after bee sting","volume":"188","author":"Goldstein","year":"1964","journal-title":"JAMA"},{"key":"R8-12-20240830","first-page":"122","article-title":"Stroke after multiple bee sting","volume":"60","author":"Rajendiran","year":"2012","journal-title":"J Assoc Physicians India"},{"key":"R9-12-20240830","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1186\/s13256-018-1839-0","article-title":"Ischemic stroke following a wasp sting \u2013 A rare complication: A case report","volume":"12","author":"Dalugama","year":"2018","journal-title":"J Med Case Rep"},{"key":"R10-12-20240830","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.jemermed.2016.06.016","article-title":"Ischemic Stroke After Wasp Sting","volume":"51","author":"Kulhari","year":"2016","journal-title":"J Emerg Med"}],"container-title":["Brain Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_33_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:15:42Z","timestamp":1787843742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/bc.bc_33_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/bc.bc_33_20","relation":{},"ISSN":["2394-8108"],"issn-type":[{"value":"2394-8108","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}