PMC3992753_01
Swelling and multiple wasp sting marks over right upper limb
AIAN-17-125-g001.jpg
PMC3992753_01_AIAN-17-125-g001.jpg
F1
He was febrile to touch, multiple wasp sting marks [Figure 1] with swelling of right upper limb (a total of 73 sting marks), moving left side of body on deep painful stimuli, gaze preference towards left side and with bilateral extensor response.
T2 weighted image of brain showing hyperintense lesion in left parieto - occipital and right cerebellum
AIAN-17-125-g003.jpg
PMC3992753_01_AIAN-17-125-g003.jpg
F2
Later, further investigation like Fibrin degradation product, D-Dimer, and C-reactive protein was done which were also positive and next day magnetic resonance imaging of brain with diffusion weighted images was performed which revealed multiple hyperintense lesions in cortical and subcortical areas with loss of grey white contrast in both cerebral hemispheres, pons bilateral thalami, and left parieto-occipital region with evidence of marked diffusion restriction [Figure 2].