title: Conjunctival Attachment of a Live Paralysis Tick, Ixodes holocyclus, in a Child: A Case Report.
abstract: We describe a rare clinical finding of conjunctival tick attachment in a child. A 10-year-old boy presented to the clinic with right-eye itch. He was found to have a live tick firmly attached to his right temporal conjunctiva. The tick was identified as the larval stage of the paralysis tick, Ixodes holocyclus. The tick was removed completely by conjunctival excision. Although various methods of removing a tick have been described in the literature, the goal of treatment is the safe and complete removal of the tick to prevent further transmission of pathogens, allergens, and toxins to the patient.
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Westmead Hospital, Sydney, N.S.W., Australia.
authors.forename: Joanne M Y
authors.initials: JM
authors.lastname: Teong
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Westmead Hospital, Sydney, N.S.W., Australia.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Adler
authors.affiliation: Department of Medical Entomology, Westmead Hospital, Sydney, N.S.W., Australia.
authors.forename: Stephen L
authors.initials: SL
authors.lastname: Doggett
authors.affiliation: Department of Tissue Pathology and Diagnostic Oncology, Westmead Hospital, Sydney, N.S.W., Australia.
authors.forename: Dariush
authors.initials: D
authors.lastname: Daneshvar
authors.affiliation: Parke Street Specialist Centre, Katoomba, N.S.W., Westmead Hospital, Sydney, N.S.W., Australia.
authors.forename: Melissa K
authors.initials: MK
authors.lastname: Shields
keywords: Child; Conjunctival attachment; Excision; Ixodes holocyclus; Tick