{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:38:12Z","timestamp":1760243892789,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T00:00:00Z","timestamp":1668124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Disease Reports"],"abstract":"<jats:p>Tick paralysis is a rare but potentially deadly form of muscle paralysis caused by a neurotoxin transmitted through the saliva of gravid, engorged female ticks of various species. Often, there is an initial misdiagnosis or delay in diagnosis due to the rarity of the diagnosis, the obscure location of the tick, and the disease\u2019s clinical similarity to Guillain\u2013Barre syndrome. We report the case of a 4-year-old girl with tick paralysis in whom the tick was not found until 2 days after hospital admission. Upon the review of the imaging, it was discovered that the tick was visible on the MRI of the brain that had been reported as normal.<\/jats:p>","DOI":"10.3390\/idr14060085","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T01:39:54Z","timestamp":1668130794000},"page":"837-840","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neuroimaging in Tick Paralysis: Looking Outside the Box"],"prefix":"10.3390","volume":"14","author":[{"given":"Zereen","family":"Sarwar","sequence":"first","affiliation":[{"name":"Department of Radiology, College of Medicine, University of Florida, Gainesville, FL 32601, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron Fletcher","family":"Osborne","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Center for HIV\/AIDS Research, Education and Service (UF CARES), University of Florida, Jacksonville, FL 32209, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8549-0202","authenticated-orcid":false,"given":"Chetan","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology, Nemours Children\u2019s Health, Jacksonville, FL 32207, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mobeen H.","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Center for HIV\/AIDS Research, Education and Service (UF CARES), University of Florida, Jacksonville, FL 32209, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"ref_1","first-page":"17","article-title":"Tick Paralysis","volume":"72","author":"Borawski","year":"2018","journal-title":"Prz. Epidemiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/s13181-010-0028-3","article-title":"A 60-year meta-analysis of tick paralysis in the United States","volume":"6","author":"Diaz","year":"2010","journal-title":"J. Med. Toxicol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Pienaar, R., Neitz, A.W.H., and Mans, B.J. (2018). Tick Paralysis: Solving an Enigma. Vet. Sci., 5.","DOI":"10.3390\/vetsci5020053"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.ijpara.2017.07.007","article-title":"Transcriptome and toxin family analysis of the paralysis tick, Ixodes holocyclus","volume":"48","author":"Moolhuijzen","year":"2018","journal-title":"Int. J. Parasitol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1007\/s00247-004-1307-4","article-title":"Ticks and tick paralysis: Imaging findings on cranial MR","volume":"35","author":"Burke","year":"2005","journal-title":"Pediatr. Radiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1086\/313502","article-title":"Tick Paralysis: 33 Human Cases in Washington State, 1946\u20131996","volume":"29","author":"Dworkin","year":"1999","journal-title":"Clin. Infect. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1097\/PEC.0000000000002572","article-title":"Tick Paralysis Case Series: An 11-Year Institutional Case Series","volume":"37","author":"Pontiff","year":"2021","journal-title":"Pediatr. Emerg. Care"},{"key":"ref_8","first-page":"3934696","article-title":"A Case of Tick-Borne Paralysis in a Traveling Patient","volume":"2019","author":"Ha","year":"2019","journal-title":"Case Rep. Neurol. Med."},{"key":"ref_9","unstructured":"(2022, September 21). Tick Removal. CDC.gov, Available online: https:\/\/www.cdc.gov\/ticks\/removing_a_tick.html."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/omcr\/omab037","article-title":"Acute flaccid paralysis in a neonate: Tick bite a differential?","volume":"2021","author":"James","year":"2021","journal-title":"Oxf. Med. Case Rep."}],"container-title":["Infectious Disease Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7449\/14\/6\/85\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:14:18Z","timestamp":1760145258000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7449\/14\/6\/85"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,11]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["idr14060085"],"URL":"https:\/\/doi.org\/10.3390\/idr14060085","relation":{},"ISSN":["2036-7449"],"issn-type":[{"type":"electronic","value":"2036-7449"}],"subject":[],"published":{"date-parts":[[2022,11,11]]}}}