{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:32:42Z","timestamp":1762507962107,"version":"3.40.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Ticks pose a serious threat to individuals of all ages owing to numerous physical illnesses including chills, aches, and a rash. Tick-borne illnesses range from a mild fever that may be treated at home to a severe disease necessitating hospitalization. Children are at an increased risk of tick bites owing to to their exposure to tick-infested areas during the summer. We report 2 cases of boys aged 3 and 8 years who sustained tick bites to the hemiscrotum and penis. Overnight hospitalization and a course of antibiotics were mandatory. In the first case, the child experienced significant scrotal cellulitis with erythema and edema extending to the suprapubic area with induration of the right anterior scrotum at the site of the tick bite. A scrotal ultrasound demonstrated swelling of the scrotal wall. In the second case, considerable swelling and induration of the distal penis and glans, pruritis of the left groin and penis, and an erythematous rash over the entire anterior pelvis were observed. A high index of suspicion is warranted because a tick bite may present as penile edema. Pediatric emergency physicians should be aware of the risks associated with tick bites and accurately diagnose and initiate treatment to prevent morbidity and mortality.<\/jats:p>","DOI":"10.1097\/pec.0000000000001933","type":"journal-article","created":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T08:58:25Z","timestamp":1577091505000},"page":"e485-e487","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Urological Evidence of Tick Bites in Children"],"prefix":"10.1097","volume":"37","author":[{"given":"Lisa B.E.","family":"Shields","sequence":"first","affiliation":[{"name":"Norton Neuroscience Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis S.","family":"Peppas","sequence":"additional","affiliation":[{"name":"Norton Children's Urology, Norton Healthcare, Louisville, KY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Norton Children's Urology, Norton Healthcare, Louisville, KY."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20250504","first-page":"2323","article-title":"Tick-borne disease","volume":"71","year":"2005","journal-title":"Am Fam Physician"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1128\/CDLI.7.4.523-527.2000","article-title":"Clinical manifestations of tick-borne infections in children","volume":"7","year":"2000","journal-title":"Clin Diagn Lab Immunol"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.pop.2013.05.003","article-title":"Tick-borne infections in the United States","volume":"40","year":"2013","journal-title":"Prim Care"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1542\/pir.21.9.311","article-title":"Scrotal swelling in children","volume":"21","year":"2000","journal-title":"Pediatr Rev"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00006565-199804000-00007","article-title":"The summer penile syndrome: seasonal acute hypersensitivity reaction caused by chigger bites on the penis","volume":"14","year":"1998","journal-title":"Pediatr Emerg Care"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1111\/j.1464-410X.1989.tb05234.x","article-title":"Acute scrotum due to tick bite","volume":"63","year":"1989","journal-title":"Br J Urol"},{"key":"bib7-20250504","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/S0022-5347(17)40231-X","article-title":"Lyme disease presenting as urinary retention","volume":"143","year":"1990","journal-title":"J Urol"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1111\/j.1346-8138.1996.tb03986.x","article-title":"A case of tick bite from Amblyomma testudinarium on the glans penis","volume":"23","year":"1996","journal-title":"J Dermatol"},{"key":"bib9-20250504","first-page":"185","article-title":"Tick-bite in penile skin : a case report","volume":"56","year":"2010","journal-title":"Hinyokika Kiyo"},{"key":"bib10-20250504","doi-asserted-by":"crossref","first-page":"201","DOI":"10.5213\/inj.2012.16.4.201","article-title":"Neurogenic bladder in lyme disease","volume":"16","year":"2012","journal-title":"Int Neurourol J"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"528","DOI":"10.5021\/ad.2013.25.4.528","article-title":"Tick bite on glans penis: the role of dermoscopy","volume":"25","year":"2013","journal-title":"Ann Dermatol"},{"key":"bib12-20250504","first-page":"461","article-title":"Tick-borne diseases","volume":"64","year":"2001","journal-title":"Am Fam Physician"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:10:54Z","timestamp":1746382254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000001933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001933","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}