Tick bite X29.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Sting through Ixodes ricinus, which can lead to the transmission of pathogens. Infestation by pigeon ticks is rarer.

Localization
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Mostly neck, flexion, scrotum.

Clinical features
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Little itching at the puncture site, brown-red to black round tick body.

Therapy
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Pull out the tick with splinter tweezers as close as possible to the skin, i.e. grasp the tick's head, no manipulation of the tick's body! If necessary removal by punch biopsy. Control of the borrelia serology (14 days and 6 weeks after tick bite).

In TBE virus endemic areas: treatment of complications if necessary. In case of tick bite inflammation: systemic antibiosis (give generous indication), furthermore external antiseptic therapy with polyvidon iodine ointment(e.g. Betaisodona). S.a. Borreliosis, Lyme disease, tick-bite fever, early summer meningoencephalitis.

Note(s)
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Ticks can survive a full wash of clothing, so a tick bite can occur long after a walk in the forest. See also ticks.

Literature
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  1. Carroll J (2007) Tough: Ticks survive the full wash cycle. Close to the skin 6: 318

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020