emergency medicine at ncemi   More Emergency Medicine Resources
Back to table of contents

11.09 Tick Removal


Presentation

The patient arrives with a tick attached to the skin, often the scalp, often frightened or disgusted and concerned about developing Lyme Disease, Rocky Mountain Spotted Fever or "tick fever."

What to do:

What not to do:



Discussion

Ixodes dammini, the tiny deer tick of New England, carries babesiosis and Lyme disease. Dermacentor variabilis, the dog tick, is the major vector of Rocky Mountain spotted fever, which is also carried by D. andersoni, the western wood tick, and Amblyomma americanum, the lone star tick. A. americanum has particularly long mouth parts, and its larvae are also capable of infesting human hosts. Other diseases carried by ticks include tick paralysis (usually cured by removing the tick), Colorado tick fever, relapsing fever, Q fever, Erlichosis and tularemia.

References:


Table of Contents
from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
Longwood Information LLC 4822 Quebec St NW Washington DC 20016-3229
1.202.237.0971 fax 1.202.244.8393 electra@clark.net
Emergency Medicine at NCEMI   More emergency medicine resources
Write to us at NCEMI
Craig Feied, MD
Mark Smith, MD
Jon Handler, MD
Michael Gillam, MD