First record of Ixodes simplex found on a human host, with a review of cases of human infestation by bat tick species occurring in Europe.

Ixodes simplex is a bat tick species, a common parasite of the Schreibers' bent-winged bat, Miniopterus schreibersii. Its distribution is linked to the range of its host, free stages occurring exclusively inside the underground bat shelters. Here we present the first case of human infestation with I. simplex. An adult female tick was found attached to the upper limb after a visit to the underground shelter of a large bat colony. This unusual host selection is a likely consequence of the reduction of suitable hosts, as the number of bats was much lower at the time of the visit than in previous years. Bat ticks rarely feed on humans, with soft ticks (Argasidae) being more commonly involved. In the light of the potential vectorial capacity of I. simplex, the incidence and potential future risks are discussed.