title: Attachment of nymphal Rhipicephalus sanguineus (Acari: Ixodidae) to a human in an urban area followed by severe adverse reaction shortly before drop-off.
abstract: A case of attachment and complete engorgement of a Rhipicephalus sanguineus (Latreille, 1806) nymph on a woman with severe pain shortly before nymphal drop-off is described. The pain continued for about 2 weeks after tick removal. Apparently, this is the first documented case of human adverse reaction developed at the very last stage of engorgement of nymphal R. sanguineus. The infestation most likely took place inside the enclosed household garden in the southern area of Jerusalem where the woman took care of the plants. The importance of immature R. sanguineus ticks in attacking humans is discussed.
authors.affiliation: Department of Biological Chemistry, A. Silberman Institute of Life Sciences, The Hebrew University of Jerusalem, Givat-Ram Campus, Jerusalem 91904, Israel. igorusp@vms.huji.ac.il
authors.forename: Igor
authors.initials: I
authors.lastname: Uspensky
mesh_terms: D000368:Aged; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D005260:Female; D006801:Humans; D009758:Nymph; D010146:Pain / Q000209:etiology*; D048508:Rhipicephalus sanguineus / Q000502:physiology*