title: Abducens nerve palsy following a tick bite: a case report.
abstract: Neuromuscular paralysis caused by salivary proteins of ticks is a well-known complication after tick bites in Australia, North America, and South Africa. Symptoms may include general weakness, difficulty walking, ascending paralysis, and bulbar paralysis with diplopia, culminating in respiratory failure. In Europe, toxin-mediated paralysis has rarely been noted. We report a case of cranial nerve paralysis with delayed onset after a tick bite in northern Germany.
authors.affiliation: Division of Tropical Medicine and Infectious Diseases, Department of Medicine, University of Rostock, Medical School, Ernst-Heydemann-Strasse 6, D-18055 Rostock, Germany.
authors.forename: Silvius
authors.initials: S
authors.lastname: Frimmel
authors.forename: Micha
authors.initials: M
authors.lastname: Löbermann
authors.forename: Ben
authors.initials: B
authors.lastname: Buxton
authors.forename: Emil C
authors.initials: EC
authors.lastname: Reisinger
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D012471:Salivary Proteins and Peptides / Q000009:adverse effects; D013987:Ticks
chemical_list: D012471:Salivary Proteins and Peptides