A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies
The Australian paralysis tick (Ixodes holocyclus) is found along the east coast of Australia. Tick bites may result in paralysis ranging from muscular weakness to ascending paralysis requiring respiratory support. Ocular complications and facial nerve involvement are rare. We present a rare occurren...
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Format: | Article |
Language: | English |
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Wiley
2024-01-01
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Series: | Case Reports in Ophthalmological Medicine |
Online Access: | http://dx.doi.org/10.1155/2024/3449614 |
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author | Sujan A. Surendran Philomena McNamara Jonathan N. Hyer Charles S. Su |
author_facet | Sujan A. Surendran Philomena McNamara Jonathan N. Hyer Charles S. Su |
author_sort | Sujan A. Surendran |
collection | DOAJ |
description | The Australian paralysis tick (Ixodes holocyclus) is found along the east coast of Australia. Tick bites may result in paralysis ranging from muscular weakness to ascending paralysis requiring respiratory support. Ocular complications and facial nerve involvement are rare. We present a rare occurrence of tick-bite-associated visual loss, proptosis, and multiple cranial neuropathies not previously reported in the literature. The tick was removed, and the patient’s symptoms improved following treatment with steroids and oral doxycycline. The vision and sensory changes are not explained by the Ixodes toxin; thus, we hypothesize this is related to orbital apex inflammation. |
format | Article |
id | doaj-art-5e9f08d05e7e42aeaf6304fb13b224e8 |
institution | Kabale University |
issn | 2090-6730 |
language | English |
publishDate | 2024-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Ophthalmological Medicine |
spelling | doaj-art-5e9f08d05e7e42aeaf6304fb13b224e82025-02-03T07:23:33ZengWileyCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/3449614A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial NeuropathiesSujan A. Surendran0Philomena McNamara1Jonathan N. Hyer2Charles S. Su3Department of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyDepartment of OphthalmologyThe Australian paralysis tick (Ixodes holocyclus) is found along the east coast of Australia. Tick bites may result in paralysis ranging from muscular weakness to ascending paralysis requiring respiratory support. Ocular complications and facial nerve involvement are rare. We present a rare occurrence of tick-bite-associated visual loss, proptosis, and multiple cranial neuropathies not previously reported in the literature. The tick was removed, and the patient’s symptoms improved following treatment with steroids and oral doxycycline. The vision and sensory changes are not explained by the Ixodes toxin; thus, we hypothesize this is related to orbital apex inflammation.http://dx.doi.org/10.1155/2024/3449614 |
spellingShingle | Sujan A. Surendran Philomena McNamara Jonathan N. Hyer Charles S. Su A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies Case Reports in Ophthalmological Medicine |
title | A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies |
title_full | A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies |
title_fullStr | A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies |
title_full_unstemmed | A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies |
title_short | A Rare Tick Tale: A Novel Case of the Australian Paralysis Tick Causing Multiple Cranial Neuropathies |
title_sort | rare tick tale a novel case of the australian paralysis tick causing multiple cranial neuropathies |
url | http://dx.doi.org/10.1155/2024/3449614 |
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