Takayama Noriya, Takagaki Yusaku
Susami Municipal Hospital Wakayama Japan.
Acute Med Surg. 2020 Apr 6;7(1):e503. doi: 10.1002/ams2.503. eCollection 2020 Jan-Dec.
Reports of tick anaphylaxis are extremely rare in Asian countries, with poor awareness in these regions. Herein, we report a case of tick anaphylaxis that was triggered by pulling out the tick.
A 66-year-old man developed pruritus in his left toes after returning from a mountain. Three days later, he found a swollen tick biting at the skin between the second and third toes and pulled it out. Approximately 30 min after pulling out the tick, he started to feel a burning sensation in his chest and was brought to our hospital. He was diagnosed with anaphylactic shock (systolic blood pressure, 60 mmHg) and immediately received intramuscular adrenaline.
To our knowledge, this is the first case of tick anaphylaxis triggered by tick removal in an Asian country. A tick should be removed without pressure on its body, especially in patients with tick or bee allergy.
蜱虫过敏反应的报告在亚洲国家极为罕见，这些地区对此认识不足。在此，我们报告一例因拔除蜱虫引发的蜱虫过敏反应病例。
一名66岁男性从山上回来后，左脚趾出现瘙痒。三天后，他发现一只肿胀的蜱虫叮咬在第二和第三脚趾之间的皮肤上，并将其拔除。拔除蜱虫约30分钟后，他开始感到胸部有烧灼感，随后被送往我院。他被诊断为过敏性休克（收缩压60mmHg），并立即接受了肌肉注射肾上腺素治疗。
据我们所知，这是亚洲国家首例因拔除蜱虫引发的蜱虫过敏反应病例。拔除蜱虫时不应按压其身体，尤其是对于蜱虫或蜜蜂过敏的患者。
