Tick paralysis is a relatively uncommon tick-borne illness that is often overlooked and misdiagnosed. Therefore, it is not unusual for cases to undergo unnecessary work-up and interventions that may delay correct diagnosis and treatment, placing the patient at risk for catastrophic consequences. We present the case of a four-year-old female who developed ascending flaccid paralysis, initially misdiagnosed with Guillain-Barré syndrome (GBS). She was placed in the pediatric intensive care unit (PICU) for mechanical ventilation after failing to respond to intravenous immunoglobulin (IVIG) administration and plasmapheresis. Later in her hospital course, she was correctly diagnosed to have tick paralysis.
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http://dx.doi.org/10.7759/cureus.43932 | DOI Listing |
Cureus
November 2024
Internal Medicine, Hospital Israelita Albert Einstein, São Paulo, BRA.
Lyme disease is a prevalent infection in the northern hemisphere, affecting approximately 450,000 new cases annually in the United States and 65,000 in Europe. This illness is spread by the bite of ticks harboring spirochetes and develops in three progressive phases. In the second phase, neurological complications are common, including cranial nerve involvement.
View Article and Find Full Text PDFBrain Neurorehabil
November 2024
Department of Rehabilitation Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Lyme disease is a multisystem infection that can affect the joints, heart, and nervous system when untreated. While it can present with cranial nerve palsy, dysphagia is rarely reported. This case highlights a rare instance of dysphagia in Lyme disease, typically known for neurological symptoms like facial nerve palsy.
View Article and Find Full Text PDFClin Microbiol Rev
December 2024
Research Center for Parasites and Vectors, College of Veterinary Medicine, Hunan Agricultural University, Changsha, Hunan, China.
SUMMARYTick paralysis is a potentially fatal condition caused by neurotoxins secreted by the salivary glands of certain ticks. Documented cases have been reported worldwide, predominantly in the United States, Canada, and Australia, with additional reports from Europe and Africa. This condition also affects animals, leading to significant economic losses and adverse impacts on animal health and welfare.
View Article and Find Full Text PDFEur J Pediatr
December 2024
Department of Infectious and Tropical Diseases, UMR-CNRS 6249 Chrono-Environment, CHRU Besançon, Université de Franche-Comté, 25000, Besançon, France.
JAMA Intern Med
November 2024
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
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