Infectious Diseases and Arthropods by Jerome Goddard

Author:Jerome Goddard
Language: eng
Format: epub
Publisher: Humana Press, Totowa, NJ

4.11.4 4.11.4 Prevention and Treatment

Since paralysis does not usually develop until late in the feeding phase of the tick (several days), frequent examination of the body and removal of any attached ticks reduce the risk of paralysis (Fig. 4.12). In the United States (Dermacentor ticks), after onset of paralysis, removing the tick generally results in rapid improvement — often almost miraculous. However, patients in deep paralysis should be under constant surveillance even after tick removal, since adverse developments may still rarely occur. One report detailed a 2-yr-old who stopped breathing 32 h after tick removal (92). The usual rapid improvement after tick removal is not always the case for I. holocyclus ticks in Australia — the patient may eventually die anyway. Alexander (96) says that in Australian cases, symptoms may progress for up to 2 d after tick removal before recovery sets in. As far as specific treatment goes, there is none, other than reports of some success in Australia with dog antiparalysis serum (99).

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