summary of tick borne illnesses that can cause renal failure and/or electrolyte
on Nantucket Island in 1969 and was initially know as Nantucket fever.
CDC map. Reported
cases in 2012
reported in Europe (Croatia, France, Great Britain, Ireland, Portugal, Spain,
Sweden, Switzerland)(Babesia divergens).
scapularis. The Blacklegged tick.
B. duncani (USA). B divergens
(Europe). Protozoan parasites
infecting red blood cells
natural host. Infection by blood transfusion has been reported.
sweats, Malaise, fatigue, Myalgia, arthralgia, headache, Gastrointestinal
symptoms, such as anorexia and nausea (less common: abdominal pain, vomiting)
cough, sore throat, emotional lability, depression, photophobia, conjunctival
mild hepatomegaly, or jaundice may occur in some patients
anemia, thrombocytopenia, renal failure, transaminitis.
microscopy of blood cells, serology and PCR for B. microti or B. duncani
plus azithromycin or quinine plus clindamycin orally for 7 to 10 days.
Atovaquone plus azithromycin is preferred as
this combination is better tolerated.
The source for this review is mainly from the CDC website as well as
various references cited in the posts. The tick
pictures provided may differ from what might be found on a bitten human. Ticks
become larger and engorged after feeding and will look different.