Various manifestations after bee sting have been described. Local reactions, such as pain, wheal, flare, edema and swelling, are common and generally self-limiting. Uncommonly manifestations like vomiting, diarrhea, dyspnea, generalized edema, acute renal failure, anaphylactic shock, myocardial infarction, hypotension, collapse, pulmonary hemorrhage, acute hemorrhagic pancreatitis, and atrial fibrillation may occur. We report a 59 year-old man who sustained ischemic stroke and multi-organ dysfunction following multiple bee stings.

Introduction: Hemorrhagic fever with renal syndrome (HFRS) is an acute viral disease caused by viruses that belong to the genus Hantavirus. Hantaviruses produce a spectrum of illness characterized by fever, circulatory collapse, hemorrhages, and renal failure. Pituitary ischemia/infarction and necrosis are known causes of hypopituitarism, often remaining unrecognized because of subtle clinical manifestations. In this report, we present a case of a 60-year-old male patient who was referred to the emergency department (ED) for unexplained hypoglicemia, with panhypopituitarism following HFRS.

Poisoning by insecticides is a public health problem, particularly in developing countries. Insecticide poisoning may occur due to ingestion, inhalation or skin contact and is commonly associated with psychiatric illnesses. However, intramuscular injection of these chemicals is rare in the literature. In this report, we represent you a case of 35-year-old female who presented to our Emergency Department due to parenteral insecticide injection after an argument with her husband. A tender swelling was observed on the upper region of left upper extremity, underneath the shoulder. The patient did not develop any signs and symptoms of organophosphate poisoning and, after follow-up, the patient was discharged with total recovery. Even in the absence of systemic effects of OP, clinicians must be aware of possible complications of intramuscular injection of OPs such as cellulitis and abscess. We aimed to raise the awareness to this rare condition.

Aim: Various scoring systems have been developed to predict mortality, disease severity, and length of stay of patients in intensive care units. It is important to demonstrate the validity of these scores in the society in which they are used. This study aims to evaluate the effects of The Acute Physiologic and Chronic Evaluation (APACHE)-II, APACHE-IV, The Simplified Acute Physiologic Score (SAPS), and Mortality Prediction Model (MPM0) scores on mortality in the internal medicine intensive care unit. Material and Method: The patients who were followed up in an internal medicine intensive care unit between June 2021 and December 2021 in a tertiary hospital in Turkey were included in this study. The scores were calculated at the time they were admitted to the intensive care unit. 115 patients who were followed up in the internal medicine intensive care unit for 6 months were included. The patients were divided into two groups alive or deceased. 52 (45.2%) patients in the survivor group and 63 (54.8%) patients in the deceased group were included. Patients received no study-related medical intervention. Results: When all four prognostic scoring systems were analyzed according to the median cut-off values, rising values ​​were related to mortality with statistical significance (p