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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Main Authors: Sujan A. Surendran, Philomena McNamara, Jonathan N. Hyer, Charles S. Su
Format: Article
Language:English
Published: Wiley 2024-01-01
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.
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publishDate 2024-01-01
publisher Wiley
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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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