Original article | Volume 24, Article 70, 20 May 2016 | 10.11604/pamj.2016.24.70.9463

Tick bite presenting with Acute Abdomen

Rakesh Sharma, Susanta Meher

Corresponding author: Susanta Meher, Department of Surgery AIIMS, Bhubaneswar, odisha 751019, India

Received: 27 Mar 2016 - Accepted: 15 Apr 2016 - Published: 20 May 2016

Domain: Clinical medicine

Keywords: Tick bite, acute abdomen, emergency

©Rakesh Sharma et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Rakesh Sharma et al. Tick bite presenting with Acute Abdomen. Pan African Medical Journal. 2016;24:70. [doi: 10.11604/pamj.2016.24.70.9463]

Available online at: https://www.panafrican-med-journal.com/content/article/24/70/full

Home | Volume 24 | Article number 70

Original article

Tick bite presenting with Acute Abdomen

Tick bite presenting with acute abdomen

Rakesh Sharma1, Susanta Meher1,&

 

1Department of Surgery AIIMS, Bhubaneswar, Odisha 751019, India

 

 

&Corresponding author
Susanta Meher, Department of Surgery AIIMS, Bhubaneswar, Odisha 751019, India

 

 

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A 24year old man presented to the emergency department with complain acute onset pain abdomen for 3days. The pain started in the umbilical region, later became diffuse. There was no history of fever, vomiting or irregular bladder and bowel habits. He consulted twice in the nearby hospital for pain abdomen. Routine blood investigation, including ultrasonography of the abdomen and pelvis was also done which did not reveal any significant abnormality. He was given some oral medication to relieve his pain, but he didnít get relieved of the pain. He then presented to our emergency department with intense and diffuse abdominal pain. Initial evaluation revealed features of diffuse peritonitis. Careful examination of the abdomen revealed a tick biting at the umbilicus (A). The tick was tense with full of blood and appeared dark bluish in color. The tick was removed and the patient got relieved of symptoms within next few minutes (B). Tick are spider like animals that bites to fasten themselves to the skin to feed on blood to grow and survive. Tick bite normally donít cause any symptoms. During bite, they secrete a neurotoxin which prevents the host from feeling the pain. Sometimes intense pain can occur before or after the tick drops off. Minor flu like symptoms can occur during tick bite like fever, headache, nausea, vomiting and malaise including features of local irritation. Rarely tick bite can cause severe allergic reaction and muscle paralysis.

 

 

Figure 1: A) tick bitting at the umbilicus; B) engorged tick after removal from the umbilicus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Tick bite presenting with Acute Abdomen

Original article

Tick bite presenting with Acute Abdomen

Original article

Tick bite presenting with Acute Abdomen

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