Tick bite anaphylaxis has rarely been reported. It may follow the bite
of any of the different tick life cycle forms, is related to the rele
ase of salivary juices, and may range from mild itch to severe wheeze
or shock. Data obtained suggest that it is more common and potentially
Life threatening than tick paralysis, which is more widely reported.
Emergency physicians should recognise this possibility following a tic
k bite and be prepared to give treatment such as adrenaline rapidly. P
atients should be referred to an allergist after recovery.