Neurological symptoms and visual disturbance triggered by anaphylactic shock the sting of a hornet. Case report

INTRODUCTION: Neurological symptoms after the insect stings are comparatively seldom described. They may have the character of the inflammation of the peripherial nerves, convulsive seizures or take the form of the depression or the psychoorganic syndrome. The aim of this work is to present a case of a child with serious neurological and ophthalmological complications after the sting of a hornet. CASE REPORT: The girl with untypical course of reactions after the sting of a hornet is presented in this article. Neurological symptoms, which were growing in first days after the sting, dominated, providing picture of a serious psychomotor deterioration in 14-year-old girl. Several months later after the sting, problems with sight during close-up work and the headaches, which caused accommodation disturbances and lack of convergence, remained. It is believed that the cause of the problems might be the toxins of insect venom, which had negative effect on centres responsible for accommodation and convergence of eyes. RESULTS: The treatment and rehabilitation, despite the serious complications after the sting of a hornet, allowed slowly recovery of physiological processes and let her get back to her normal activity. Her sight also improved. The headaches during close-up work subsided and her her accommodation and convergence of eyes improved. The girl came back to the normal life after two-year dramatic struggle with serious complications after the sting of a hornet, and she undertook the learning in normal school.