|
|
|
|
Five patients developed neurologic symptoms a few hours to 2 months after being stung by a nonhooking arthropod with immediate cutaneous reaction. The patients had no clinical or serologic evidence for Lyme borreliosis and rickettsial disease.Clinical and electrophysiologic findings were consistent with a mixed axonal and demyelinating mononeuropathy,a monomelic multiple mononeuropathy,a mononeuropathy multiplex,a radiculoneuritis,and a distal symmetric polyneuropathy.Muscle and nerve biopsies showed lymphoplasmacytic small-vessel vasculitis in all patients, and wallerian degeneration in three.These patients,and 17 others from the literature,indicate a spectrum of peripheral neuropathies occurring after insect and spider stings. |
|