All ditch Ixodes bites misdiagnosed as cutaneous h

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All ditch Ixodes bites misdiagnosed as cutaneous horn 1 case of secondary infection

Week, the sick child crying . Private prosecution after the head pain. After the parents found the head when viewed ten mass, without the disposal of childhood disease and crying, no pain, 3 days reduced, and the emergence of the left neck pain, swelling from hospital dermatology clinic . Benjamin examination revealed a left occipital after the vegetation , long cylindrical gray brown NIE . Above the scalp of about 2.5cm, was swelling around the left neck, mild skin redness, swelling significantly . Secondary infection in newly diagnosed cutaneous horn , to the oral administration of red mold claims . Mine water, topical dressing wet compress . Ask client to be inflammation subsided, Jing laser treatment. Two days later, again to saying . When the gauze bandage when untied . Dropped a worm. Physical examination , temperature 36.8 Shen Qing , the body of the system without exception. The left side after the occipital depression the size of a fingernail , the central erosion. Small knot carbuncle , the edge of a small blister and scab pus , while the surrounding lung irritation, mild swelling of the left neck , left neck and left barium lymph nodes. Laboratory twBc11.2 × 10 * / L. Sg57%. L43%. Urine and liver function were normal. T look at bugs dropped the size of a small fingernail , gray. Back of the ring -shaped shield plate. Qi Jing surface level , I regret the two feet on the limb , without regulation Huo activities. The parasite was identified as adult female ticks all communication . Saying Sri Lanka : tick bites. After symptomatic treatment , half months after the swelling subsided completely . Leaving superficial scars. Follow-up year. No forests , and other disease of brain death . '2 ticks bite the skin on the discussion of sustainable 4 to 14 days. 24 to 48 hours after the bite of the skin or small edematous papules nodules . There may be large areas of severe edema , l blisters or ecchymoses . Mussels when they bite the skin can be hidden in the saliva can be toxic narcotic nerve cord injection body. Cause tick paralysis . It may also give rise to Can serve as a vector-borne forest pulpitis , Q fever , relapsing fever tick ting of infectious diseases. Qu visit a year since this case,[link widoczny dla zalogowanych], Taiwan and disease occur. Tick bite in the forest , mountain more hair, in a city hospital experience less easily overlooked and misdiagnosed. j1Ijf: Continuing medical

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