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August 15, 1977

Envenomation and Diverse Disease States

JAMA. 1977;238(7):581. doi:10.1001/jama.1977.03280070021010

To the Editor.—  The article by Brumlik (235:2120, 1976) again indicates the diversity of disease states that appear to be precipitated by arthropod bites or stings as well as by the bites or stings of other venomous animals.1-3During the period 1955 to 1975, the Venom Poisoning Unit at this medical center treated or was involved in the treatment of 14 unusual disorders that appeared one to seven days following the bite or sting of an arthropod, snake, or marine animal and that did not appear to be directly related to the venom poisoning. Two of these cases have been reported.4-5 Three more, one involving a bee sting with subsequent optic neuritis, one generalized polyneuropathy, and another involving a stingray injury that precipitated amyloidosis, were discussed on grand rounds at this medical center. The remaining nine cases have gone unreported.Similar experiences have been noted by others, particularly