Massive tick (Ixodes holocyclus) infestation with delayed facial-nerve palsy

Mark K Miller
Med J Aust 2002; 176 (6): 264-265.

Neuromuscular paralysis and death up to four days after removal of ticks is well documented and apparently unique to Australian tick envenomation.1-5 Generally, obvious symptoms and signs are present at the time of tick removal. In contrast, onset of local neurotoxicity many hours after tick removal has not, to my knowledge, been reported previously in the medical literature.

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  • Mark K Miller

  • Department of Emergency Medicine, John Hunter Hospital, Newcastle, NSW.

Competing interests:

None declared.

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