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Case Report



Facial paralysis caused by the bee sting

ERKAN YILDIZ,Orhan Kemal Kahveci,Şahin ULU,Tülay Koca.




Abstract

Bee sting is one of the most common insect poisoning. It usually begins with local symptoms such as pain, redness, and fever following a local pain. Rarely, anaphylaxis, myocardial infarction, organ failure, epilepsy and other neurological diseases have been reported. Peripheral facial paralysis is one of the common diseases of the otolaryngology clinic. Although it is usually idiopathic, trauma and tumors are the two most common causes. Topographic and electrophysiological tests are used in the diagnosis. In this presentation, peripheral facial paralysis due to bee sting will be discussed. An 18-year-old male patient was admitted to our emergency service with an apical sting in the left mastoid region for two hours before the operation. Ear nose throat examination was normal. Right facial paralysis was present. The patient was discontinued in 12 days with a dose of 3 mg per day starting from 1 mg / kg of Feniramin 1 * 1 and methyl prednisolone’’. ‘’ Pheniramin 1 * 1 and methyl prednisolone 1 mg / kg were started and the dose was cut in 12 days Symptoms of the patient decreased from day 10 and returned to normal at 15th day.

Key words: Bee sting, peripheral facial paralysis, steroids, electrophysiological tests





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