Pek Chong Han, Cheong Crystal Shuk Jin, Yap Yan Lin, Doggett Stephen, Lim Thiam Chye, Ong Wei Chen, Lim Jane
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System, Singapore.
Department of Otolaryngology - Head and Neck Surgery, National University Health System, Singapore.
J Emerg Med. 2016 Nov;51(5):e109-e114. doi: 10.1016/j.jemermed.2016.02.031. Epub 2016 Sep 9.
Ticks are blood-sucking arachnids that feed on all classes of vertebrates, including humans. Ixodes holocyclus, also known as the Australian Paralysis Tick, is capable of causing a myriad of clinical issues in humans and companion animals, including the transmission of infectious agents, toxin-mediated paralysis, allergic and inflammatory reactions, and mammalian meat allergies in humans. The Australian Paralysis Tick is endemic to Australia, and only two other exported cases have been reported in the literature.
We report the third exported case of tick paralysis caused by I. holocyclus, which was imported on a patient into Singapore. We also discuss the clinical course of the patient, the salient points of management, and the proper removal of this tick species. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: With increasing air travel, emergency physicians need to be aware of and to identify imported cases of tick paralysis to institute proper management and advice to the patient. We also describe the tick identification features and proper method of removal of this tick species.
蜱是吸食血液的蛛形纲动物，以包括人类在内的所有脊椎动物为食。全环硬蜱，也被称为澳大利亚麻痹蜱，能够在人类和伴侣动物中引发无数临床问题，包括传染原的传播、毒素介导的麻痹、过敏和炎症反应，以及人类的哺乳动物肉类过敏。澳大利亚麻痹蜱在澳大利亚为地方病，文献中仅报道过另外两例输出病例。
我们报告了第三例由全环硬蜱引起的蜱麻痹输出病例，该病例随一名患者输入新加坡。我们还讨论了患者的临床病程、管理要点以及正确清除这种蜱的方法。为什么急诊医生应该了解这个情况？：随着航空旅行的增加，急诊医生需要意识到并识别蜱麻痹的输入病例，以便对患者进行适当的管理并提供建议。我们还描述了这种蜱的识别特征和正确的清除方法。
