蜱虫未完全清除后的蜱叮咬肉芽肿
Tick Bite Granuloma After Incomplete Removal of Tick.
作者信息
Bartosik Katarzyna, Szczecina Agata, Borzęcka-Sapko Agnieszka, Raszewska-Famielec Magdalena, Buczek Alicja
机构信息
Department of Biology and Parasitology, Chair of Pharmacology and Biology, Faculty of Health Sciences, Medical University of Lublin, Radziwiłłowska 11 St., 20-080 Lublin, Poland.
Med-Laser Non-Public Health Care Centre, 20-406 Lublin, Poland.
出版信息
Insects. 2025 Apr 6;16(4):389. doi: 10.3390/insects16040389.
(Acari: Ixodidae) ticks infest humans in Europe most frequently. This report describes an interesting case of a persistent inflammatory skin reaction developed in a patient after the incomplete removal of an female tick. A 47-year-old female patient incompletely removed a female tick feeding in the lumbar region for approximately 12 h. After 9 weeks of persistent itching and burning, the skin from the tick feeding site was sampled for histopathological examination. The lesion exhibited the presence of abundant inflammatory infiltrates composed of lymphocytes, plasma cells, and eosinophils, as well as multinucleated macrophages and irregular fibrosis. The histopathological image revealed the presence of a tick bite granuloma. This study indicates that persistent symptoms of an inflammatory reaction may develop after incomplete tick removal, even after a short time of feeding.
（蜱螨目：硬蜱科）蜱虫在欧洲最常侵扰人类。本报告描述了一例有趣的病例，一名患者在一只雌性蜱虫未被完全移除后出现了持续性炎症性皮肤反应。一名47岁女性患者未完全移除一只正在腰椎部位叮咬约12小时的雌性蜱虫。在持续瘙痒和灼痛9周后，对蜱虫叮咬部位的皮肤进行取样以进行组织病理学检查。病变部位可见大量由淋巴细胞、浆细胞和嗜酸性粒细胞组成的炎症浸润，以及多核巨噬细胞和不规则纤维化。组织病理学图像显示存在蜱虫叮咬肉芽肿。本研究表明，即使蜱虫叮咬时间较短，但未被完全移除后，可能会出现炎症反应的持续症状。
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