Question- What are the clinical characteristics associated with tick paralysis?
Answer- The cited article reports “Tick paralysis [is] a neuro-toxidrome [that] occurs after tick attachment, engorgement and injection of potent tick salivary toxins. “Most cases occur from March to July when ticks are most active. Four to seven days after tick attachment, symptoms begin with malaise and weakness followed by progressive neurologic deficits. Paralysis ensures in a mean 1.4 days. Suggestive symptoms include diplopia, dysphagia, dysarthria, ataxia and ascending weakness; it is frequently mis-diagnosed as Guillain-Barre syndrome.” (Lother SA and Haley L. Tick paralysis. 2017 CMAJ 189(43): e1341)