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September 11, 1937


Author Affiliations


JAMA. 1937;109(11):846-848. doi:10.1001/jama.1937.02780370012006

Wood tick paralysis in children1 is acute and progressive but usually afebrile. The child awakens in the morning feeling entirely well. However, as soon as he attempts to stand alone he collapses. In an effort to walk with support the gait proves ataxic. In a few hours, walking and even standing with support become impossible because of the progressive and increasing muscular weakness. At the beginning of the illness it is generally difficult for the child to feed himself on account of the ataxic movements of the upper extremities, and after a few hours self feeding will probably be impossible.

The tick which has caused the paralysis has usually been feeding and engorging for six days. It may be attached anywhere on the body. Ticks have been recovered in cases of paralyzed children under my care from the axilla, the groin, over the mastoid region and over the lower

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