PEDIATRICS Vol. 1 No. 2 February 1948, pp. 174-180
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TICK PARALYSIS

Three Cases of Tick (Dermacentor variabilis Say) Paralysis in Virginia: With a Summary of All the Cases Reported in the Eastern United States

CAROLYN MOORE MCCUE M.D.1, J. B. STONE M.D.1, and LEE E. SUTTON JR. M.D.1

1 The Pediatric Department of the Medical College of Virginia.

The three cases of tick paralysis occurring in Virginia in the last two years are presented. One of these cases required the respirator. In this case the tick was identified as Dermacentor variabilis Say.

Only ten other cases of tick paralysis have been reported in the eastern United States. A summary of the findings of these cases is charted. Three recent cases in the west, also charted, showed only one case needing a respirator. A brief review of the epidemiology, symptoms, signs and treatment of tick paralysis is given.

The seriousness of tick paralysis, if the tick is not found and removed, and the usual dramatic recovery after removal make it extremely important to consider this condition in any case showing such neurologic manifestations as those presented in this report. During an epidemic of poliomyelitis, tick paralysis should always be kept in mind as a possible alternative diagnosis.

Submitted on September 30, 1947




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