Abducens nerve palsy following a tick bite: a case report.
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.
Frimmel
Silvius
S
Division of Tropical Medicine and Infectious Diseases, Department of Medicine, University of Rostock, Medical School, Ernst-Heydemann-Strasse 6, D-18055 Rostock, Germany.
Löbermann
Micha
M
Buxton
Ben
B
Reisinger
Emil C
EC
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
D012471:Salivary Proteins and Peptides