Symptoms may include general weakness, difficulty walking, ascending paralysis, and bulbar paralysis with diplopia, culminating in respiratory failure. In Europe, toxin-mediated paralysis has rarely been noted. [ncbi.nlm.nih.gov]

Symptoms may include general weakness, difficulty walking, ascending paralysis, and bulbar paralysis with diplopia, culminating in respiratory failure. In Europe, toxin-mediated paralysis has rarely been noted. [ncbi.nlm.nih.gov]

A 52-year-old man developed fever, headache, tinnitus, and painful joints. He reported a tick bite contracted during a summer holiday in the Netherlands, followed by erythema on his left arm three weeks earlier. [ncbi.nlm.nih.gov]

We report a case of nonscarring alopecia in a 21-year-old male who reported a recent history of tick bite to the scalp. [ncbi.nlm.nih.gov]

A 58-year old housewife consulted us about 1 cm sized, dark-brownish, bean-like mass which was dropped spontaneously from indurated skin lesion on her abdomen. The mass was identified morphologically as an engorged female Ixodes nipponensis. [ncbi.nlm.nih.gov]

Abstract In May 1998, the Oregon Health Division received a report from a local physician that nine persons developed annular skin lesions accompanied by influenza-like symptoms within 8 days of leaving southern Africa. [ncbi.nlm.nih.gov]

The patient presented with fever of 38.4(o)C, generalized maculopapular rash and single eschar. Diagnosis was confirmed by polymerase chain reaction (PCR) from eschar biopsies. [ncbi.nlm.nih.gov]

Rickettsial infection (tick typhus) presents as fever, lethargy, anorexia, arthralgia, generalised rash and a plaque with eschar at the original tick bite site. [aci.health.nsw.gov.au]

Three patients developed radiating pain, paresthaesia and/or motor weakness of extremities, 2 had hemi-facial pain and paresthaesia, and 1 developed unilateral sensorineural hearing loss. [ncbi.nlm.nih.gov]

The dominant clinical feature of his illness was the presence of multiple, ulcerated lesions (tache noires). [ncbi.nlm.nih.gov]

A biopsy specimen of an eschar had wedge-shaped tissue necrosis, hemorrhage, necrotizing vasculitis of the small venules and arterioles, and a dense perivascular lymphocytic infiltrate in the dermis. [ncbi.nlm.nih.gov]