t to infiltrate all wounds may be diluted with saline 58Clinical DiseaseIncubation period 20 to 90 days 4 days up to 19 years have been reported Greater than 1 year is well documented Prodrome Fever, sore throat, chills malaise, headache, N/V, weakness May report limb pain, weakness, and paresthesias Nonspecific neurologic conditions such as anxiety, agitation, irritability or psychiatric disturba