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Background  Clinically significant manifestations of Hymenopteran envenomation is increasingly recognized in Sri Lanka. These clinical manifestations range from localized allergic reactions to end-organ failure and thrombotic-episodes. We report a case of 65 year old male who developed acute lower limb ischaemia after a sting of the hymenopteran  Apis dorsata.Case presentation  A 65 year old male with hypertension and hyperlipidaemia presented with envenomation from an attack of a swarm of  A. dorsata . He subsequently developed acute limb ischaemia following an acute femoral thrombus and made a complete recovery with anticoagulation and surgical-embolectomy.    Conclusions  This case adds to the spectrum of thrombotic manifestations of Hymenopteran venom highlighting the requirement for close monitoring and clinical vigilance in these patients.

Giant honey bee (Apis dorsata) sting and acute limb ischemia: a case report and review of the literature