The Turkish Journal of Pediatrics
2009 , Vol 51 , Num 5
Severe Quadriparesis Caused by Wasp Sting
Department of Pediatrics, Comenius University in Bratislava, Jessenius School of Medicine, Martin, Slovakia
Besides the typical symptoms of allergic reaction after wasp sting, unusual
and unexpected reactions may also develop. In this report, a case of severe
peripheral quadriparesis and sphincteric disorder (urinary incontinence) in
a 10–year-old boy occurring within 24 hours after wasp sting is presented.
Corticosteroids had very good therapeutic effect, and improvement in clinical
status was observed within 72 hours. The exact pathogenic mechanism of
peripheral nervous system damage is not very well known. Several studies
have suggested that besides the neurotoxic effect of wasp venom, delayed
immunological response to wasp antigens followed by an allergy-triggered
autoimmune reaction is possible. Wasp venom may activate an allergic
reaction or effects by toxic impacts; however, typical clinical symptoms of
allergic reaction are not necessarily present.
Keywords :
children, quadriparesis, sphincteric disorder, wasp.c