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.
We report a 81-years-old female tetanus patient first presenting like acute dystonia. She was first admitted to the neurology clinic and misdiagnosed as acute dystonia by the neurologist. When the disease progressed and intense painful local dystonic spasm continued she was examined by an infectious disease specialist. She was then hospitalized with the diagnosis of the tetanus. She died because of healthcare-associated pneumonia after 87 days of hospitalization. We report this case because presentation of tetanus might be atypical and it can be misdiagnosed if you do not suspect it. Keywords: Dystonia; local tetanus; tetanus Özet Seksenbir yaşında tetanos tanısı alan, ancak ilk olarak akut distoni tablosu ile müracaat eden kadın hastayı sunduk. Hasta ilk nöroloji kliniğine başvurduğunda nörolog tarafından distoni olarak değerlendiriliyor. Hastalık ilerledikçe ve ağrılı lokal distonik spazmlar devam ettikçe, hasta bir de enfeksiyon hastalıkları uzmanı tarafından görülüyor. Tetanos tanısı alarak hastaneye yatırılıyor. Hastaneye yatıştan 87 gün sonra nozokomial pnömoni nedeni ile hasta öldü. Biz bu hastayı tetanosun klasik klinik tablosu dışında bir şikayetle başvurduğu için ve tetanosun halen eğer şüphelenilmez ise tanı atlamaları ve yanılsamaları yapabileceğimiz bir klinik tablo olduğuna dikkat çekebilmek için sunduk.
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