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Study Guide: The Australian Paralysis Tick: Biology, Pathology, and Management

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The Australian Paralysis Tick: Biology, Pathology, and Management Study Guide

Taxonomy, Morphology, and Ecology of Ixodes holocyclus

The Australian paralysis tick, *Ixodes holocyclus*, is considered the most medically significant tick in Australia primarily due to its capacity to transmit various viral diseases to humans and companion animals.

Answer: False

Explanation: The Australian paralysis tick is medically important due to its neurotoxins causing paralysis, not primarily due to viral disease transmission. It is a vector for rickettsial bacterial diseases, not viral diseases, according to the provided information.

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Louis Georges Neumann provided the initial scientific description of *Ixodes holocyclus* in 1921, concurrently establishing its etiological link to clinical disease in canines.

Answer: False

Explanation: Louis Georges Neumann scientifically described *Ixodes holocyclus* in 1899. The definitive link between *Ixodes holocyclus* and clinical disease in dogs was established by Dodd in 1921.

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The common appellation 'Bottle tick' for *Ixodes holocyclus* denotes the male tick's distended morphology subsequent to engorgement on a host's blood.

Answer: False

Explanation: The term 'Bottle tick' refers to the engorging adult female tick, which becomes swollen with blood. Male ticks do not engorge for sustenance.

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Captain William Hovell's expedition journal from 1824–1825 includes one of the earliest Australian documentations of ticks as a significant concern in human pathology.

Answer: True

Explanation: Captain William Hovell's journal from his 1824–1825 journey explicitly mentions ticks as a problem in human disease, noting their ability to 'destroy either man or beast if not removed in time'.

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A salient morphological characteristic differentiating *Ixodes holocyclus* is the distinctively darker pigmentation of its first and last pairs of legs compared to the two intermediate pairs.

Answer: True

Explanation: One of the most easily recognized characteristic features of *Ixodes holocyclus* is that its first and last pairs of legs are distinctly darker than the two middle pairs.

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*Ixodes holocyclus* is exclusively distributed along the eastern Australian coastline, confined to a 20-kilometer wide geographical band.

Answer: False

Explanation: *Ixodes holocyclus* is found mainly along coastal eastern Australia within a 20-kilometer band, but it can also be found more than 100 km inland in moist escarpments and ranges.

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The paralysis tick exhibits a predilection for high-rainfall habitats, including wet sclerophyll forests and temperate rainforests, as these environments furnish the essential humid conditions for its viability.

Answer: True

Explanation: Paralysis ticks are found in habitats with high rainfall, such as wet sclerophyll forests and temperate rainforests, because humid conditions are crucial for their survival.

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The anal groove of *Ixodes holocyclus* circumscribes the anus in a complete, pyriform oval, constituting a pivotal diagnostic characteristic.

Answer: True

Explanation: One of the two most easily recognized characteristic features of *Ixodes holocyclus* is that its anal groove forms a complete, pear-shaped oval around the anus, giving it the species name 'holocyclus'.

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An unengorged adult *Ixodes holocyclus* measures approximately 13.2 mm in length and 10.2 mm in width.

Answer: False

Explanation: An unengorged adult *Ixodes holocyclus* is around 3.8 mm long and 2.6 mm wide. The dimensions 13.2 mm long and 10.2 mm wide refer to a fully engorged adult female.

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The adult male *Ixodes holocyclus* possesses a conscutum (shield) that covers only the anterior dorsal aspect of its body, analogous to the female's scutum.

Answer: False

Explanation: The adult male *Ixodes holocyclus* has a conscutum that covers its entire dorsal body, giving it a 'shell-back' appearance, unlike the female's scutum which covers only the front part.

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What constitutes the principal rationale for *Ixodes holocyclus* being designated as the most medically significant tick species in Australia?

Answer: It can cause paralysis by injecting neurotoxins into its host.

Explanation: The Australian paralysis tick is considered medically important primarily because it can cause paralysis by injecting neurotoxins into its host.

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What is the characteristic geographical distribution of *Ixodes holocyclus* within Australia?

Answer: Mainly in a 20-kilometer wide band along the eastern coastline.

Explanation: *Ixodes holocyclus* is typically found mainly in a 20-kilometer wide band along the eastern coastline of Australia, though it can extend further inland.

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Among the following species, which are documented as natural hosts for the Australian paralysis tick?

Answer: Koalas, bandicoots, possums, and kangaroos.

Explanation: Natural hosts for the paralysis tick include koalas, bandicoots, possums, and kangaroos, which often develop immunity to its toxins.

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Who is credited with the initial scientific description of *Ixodes holocyclus*, and in which year was this accomplished?

Answer: Louis Georges Neumann in 1899.

Explanation: *Ixodes holocyclus* was first scientifically described by Louis Georges Neumann in 1899.

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What is the inherent difficulty associated with using common names such as 'dog tick' or 'bush tick' to refer to *Ixodes holocyclus*?

Answer: They are also used for other tick species found in Australia, causing confusion.

Explanation: Common names like 'dog tick' or 'bush tick' are problematic because they are also used for other tick species in Australia, leading to confusion.

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Within the nomenclature of *Ixodes holocyclus*, what specific morphological characteristic does the term 'Shell-back tick' denote?

Answer: The tortoise-shell appearance of the large shield covering the entire dorsal surface of the adult male.

Explanation: 'Shell-back tick' refers to the tortoise-shell appearance of the large shield (conscutum) that covers the entire dorsal surface of the adult male *Ixodes holocyclus*.

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Identify a crucial anatomical characteristic for the diagnosis of *Ixodes holocyclus* larvae.

Answer: A capitulum with slender palpi and a rounded hypostome with 2/2 dentition.

Explanation: Key anatomical features for diagnosing *Ixodes holocyclus* larvae include a capitulum with slender palpi and a rounded hypostome with 2/2 dentition.

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Describe the principal morphological distinction between adult male and female *Ixodes holocyclus*.

Answer: The adult male's shield (conscutum) covers its entire dorsal body, while the female's shield (scutum) covers only the front part.

Explanation: The primary difference is that the adult male's shield (conscutum) covers its entire dorsal body, whereas the adult female's shield (scutum) covers only the front part of its dorsal body.

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During the early colonial era, what observations did James Backhouse document regarding the 'Wattle Tick'?

Answer: It caused painful swellings in humans if forcibly removed and could destroy sheep.

Explanation: James Backhouse observed that the 'Wattle Tick' could cause painful swellings in humans if forcibly removed and was capable of destroying sheep, sometimes causing paralysis before death.

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What is the approximate linear dimension of an unengorged adult *Ixodes holocyclus*?

Answer: 3.8 mm long.

Explanation: An unengorged adult *Ixodes holocyclus* is approximately 3.8 mm long.

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Which environmental parameters are deemed most conducive to the accelerated development of the paralysis tick?

Answer: An ambient temperature of 27 °C and high relative humidity.

Explanation: An ambient temperature of 27 °C and high relative humidity are considered optimal for the rapid development of the paralysis tick.

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Life Cycle and Feeding Dynamics of the Australian Paralysis Tick

The complete life cycle of *Ixodes holocyclus* generally spans approximately one year, necessitating three distinct hosts for its progression.

Answer: True

Explanation: The life cycle of *Ixodes holocyclus* typically takes about a year and is characterized as a 'three-host tick,' meaning it requires three different hosts to complete its development.

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Male *Ixodes holocyclus* ticks primarily engage in questing behavior to acquire a blood meal for their own nutritional requirements, analogous to females.

Answer: False

Explanation: Male *Ixodes holocyclus* ticks primarily quest to find unfertilized females for mating and do not typically engorge on a blood meal for their own sustenance, unlike females.

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Larval stages of *Ixodes holocyclus* are colloquially termed 'seed ticks' and typically feed for approximately 10-12 days prior to ecdysis.

Answer: False

Explanation: Larvae of *Ixodes holocyclus* are known as 'seed ticks' but feed for 4 to 6 days, not 10-12 days, before moulting into nymphs.

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The principal activity of a newly ecdysed male *Ixodes holocyclus* tick involves engorgement on a host's blood prior to seeking unfertilized females for copulation.

Answer: False

Explanation: The primary activity of a newly moulted male *Ixodes holocyclus* is to seek a host and then search for unfertilized females for mating; males do not engorge for their own sustenance.

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The hematophagous process of *Ixodes holocyclus* is characterized by an initial rapid phase within the first 12-24 hours, enabling swift engorgement prior to host immune recognition.

Answer: False

Explanation: The feeding process of *Ixodes holocyclus* involves an initial slow phase lasting several days, followed by a rapid phase in the final 12-24 hours before detachment.

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Telmophagy, or pool feeding, delineates the mechanism by which *Ixodes holocyclus* incises a channel into the host's integument to create a localized blood pool for subsequent nutrient acquisition.

Answer: True

Explanation: Telmophagy, or pool feeding, is the process where *Ixodes holocyclus* cuts a channel into the host's skin to form a blood pool from which its hypostome draws nutrients.

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The salivary secretions of *Ixodes holocyclus* comprise compounds such as anticoagulants and antihistamines, which serve to promote sustained hematophagy and attenuate host immune responses.

Answer: True

Explanation: The saliva of *Ixodes holocyclus* contains various pharmacologically active substances, including anticoagulants and antihistamines, which facilitate continuous feeding and suppress host defenses.

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Enumerate the four developmental stages comprising the life cycle of *Ixodes holocyclus*.

Answer: Egg, larva, nymph, adult.

Explanation: The four stages of the *Ixodes holocyclus* life cycle are egg, larva, nymph, and adult.

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By what principal mechanism do *Ixodes holocyclus* ticks locate a host?

Answer: By 'questing,' climbing vegetation and waving forelegs, stimulated by CO2, heat, and movement.

Explanation: *Ixodes holocyclus* ticks primarily find a host by 'questing,' climbing vegetation and waving their forelegs, stimulated by cues such as carbon dioxide, heat, and movement.

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What constitutes the principal activity of a newly ecdysed male *Ixodes holocyclus* tick?

Answer: To seek a host and then wander on the host searching for unfertilized females with which to mate.

Explanation: The primary activity of a newly moulted male *Ixodes holocyclus* tick is to seek a host and then search for unfertilized females for mating, as males do not engorge for sustenance.

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What is the typical oviposition rate for adult female *Ixodes holocyclus*?

Answer: Between 2000 and 6000 eggs.

Explanation: Adult female *Ixodes holocyclus* typically lay between 2000 and 6000 eggs.

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By what common appellations are the larval stages of *Ixodes holocyclus* also recognized?

Answer: Seed ticks or grass ticks.

Explanation: Larvae of *Ixodes holocyclus* are commonly known as 'seed ticks' or 'grass ticks'.

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Define telmophagy in the context of *Ixodes holocyclus* hematophagy.

Answer: The process of the tick cutting a channel into the host's skin to form a blood pool from which it feeds.

Explanation: Telmophagy, or pool feeding, is the process by which *Ixodes holocyclus* cuts a channel into the host's skin to form a blood pool from which it feeds.

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Which of the subsequent substances is introduced via the tick's salivary secretions to impede platelet aggregation and induce vasodilation?

Answer: Anticoagulants and prostaglandin E2.

Explanation: During feeding, *Ixodes holocyclus* injects anticoagulants and prostaglandin E2, among other substances, to inhibit platelet aggregation and dilate blood vessels.

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Pathophysiology of Ixodes holocyclus Envenomation and Associated Syndromes

Natural hosts of *Ixodes holocyclus* frequently acquire immunity to the tick's neurotoxins through persistent exposure, thereby reducing their susceptibility to paralysis.

Answer: True

Explanation: Native animals, as natural hosts, typically develop immunity to the paralysis tick's toxins due to continuous exposure, making them less prone to paralysis compared to non-immune domestic animals.

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Ian Clunies Ross's research indicated that an infectious agent transmitted by the tick, rather than a toxin, was the etiological factor for host paralysis.

Answer: False

Explanation: Ian Clunies Ross demonstrated that a toxin produced by the tick, not an infective agent, was responsible for the observed paralysis.

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In human subjects, *Ixodes holocyclus* bites predominantly induce tick paralysis, with allergic reactions and localized irritation occurring less frequently.

Answer: False

Explanation: In humans, the effects of *Ixodes holocyclus* bites are primarily local irritation, numbness, allergic reactions, and tick-transmitted infectious diseases, with paralysis being possible but less common than in domestic animals.

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The dermatological condition known as 'scrub itch' in south-east Queensland is attributed to infestation by adult *Ixodes holocyclus* ticks.

Answer: False

Explanation: 'Scrub itch' in south-east Queensland is caused by infestation with many *Ixodes holocyclus* larvae, not adult ticks.

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Alpha-gal allergy, associated with *Ixodes holocyclus* bites, is atypical due to the delayed onset of allergic reactions to mammalian meat, which can manifest 3 to 6 hours post-ingestion, frequently many months after the initial tick exposure.

Answer: True

Explanation: Alpha-gal allergy is indeed unusual because the allergic reaction to mammalian meat is delayed, occurring 3 to 6 hours after ingestion, and can manifest many months after the tick bite that sensitized the individual.

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The neurotoxins of *Ixodes holocyclus* are hypothesized to induce paralysis by impeding acetylcholine secretion at neuromuscular junctions.

Answer: True

Explanation: The toxins produced by *Ixodes holocyclus* are believed to cause a failure of acetylcholine secretion at neuromuscular junctions, which is the underlying mechanism of the paralysis observed in affected hosts.

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Initial manifestations of tick envenomation in canines and felines are invariably severe and immediately apparent, exemplified by complete hind limb paralysis.

Answer: False

Explanation: Early signs of tick envenomation in dogs and cats can be subtle, including lethargy, loss of appetite, and altered voice, rather than immediately severe symptoms like complete hind limb paralysis.

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During the first half of the 20th century, a minimum of 20 human fatalities were ascribed to the paralysis tick, with the preponderance of victims being adults exceeding 60 years of age.

Answer: False

Explanation: In the first half of the 20th century, at least 20 human deaths were attributed to the paralysis tick, but 80% of these victims were children under four years old, not adults over 60.

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A granulomatous inflammatory response encircling the tick mouthparts is hypothesized to sequester residual neurotoxin, thereby exacerbating progressive paralysis even subsequent to tick extraction.

Answer: True

Explanation: A granulomatous reaction around the tick mouthparts is thought to concentrate residual toxin, which can contribute to increasing paralysis even after the tick has been removed.

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Tick envenomation in animal populations generally reaches its zenith during the autumn to early winter period, correlating with arid, cooler climatic conditions.

Answer: False

Explanation: Tick envenomation in animals typically peaks in spring to mid-summer, coinciding with humid conditions, not dry, cool weather patterns.

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The discovery of a fully engorged tick on a canine indicates a high susceptibility of the animal to the tick's neurotoxins, necessitating prompt therapeutic intervention.

Answer: False

Explanation: Finding a fully engorged tick on a dog suggests the dog has a certain degree of immunity to the tick's toxins, as non-immune animals would likely show severe paralysis symptoms before full engorgement.

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In 1921, what pivotal discovery did Dodd make concerning *Ixodes holocyclus*?

Answer: A definitive link between *Ixodes holocyclus* and clinical disease in dogs.

Explanation: In 1921, Dodd established a definitive link between *Ixodes holocyclus* and clinical disease in dogs, observing that clinical signs developed five to six days after attachment.

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During the initial half of the 20th century, what was the reported number of human fatalities attributed to the paralysis tick, and which demographic was most significantly impacted?

Answer: At least 20 deaths, with 80% being children under four years old.

Explanation: In the first half of the 20th century, at least 20 human deaths were attributed to the paralysis tick, with 80% of victims being children under four years old.

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The observation of a fully engorged tick on a canine host implies what about the animal's physiological response?

Answer: The dog has a certain degree of immunity to the tick's toxins.

Explanation: Finding a fully engorged tick on a dog suggests that the dog has a certain degree of immunity to the tick's toxins, as non-immune animals would likely show severe paralysis symptoms earlier.

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During which seasonal period does tick envenomation in Australian animal populations typically reach its highest incidence?

Answer: Spring to mid-summer.

Explanation: Tick envenomation in animals typically peaks in Australia during spring to mid-summer.

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Identify the potentially fatal sequelae associated with *Ixodes holocyclus* bites in human subjects.

Answer: Severe allergic reactions, tick-transmitted infectious diseases, and tick paralysis.

Explanation: Life-threatening effects of *Ixodes holocyclus* bites in humans can include severe allergic reactions, tick-transmitted infectious diseases, and tick paralysis.

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What is the etiological agent responsible for 'scrub itch' in the south-east Queensland region?

Answer: Infestation with many *Ixodes holocyclus* larvae.

Explanation: 'Scrub itch' in south-east Queensland is caused by infestation with many *Ixodes holocyclus* larvae.

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Elucidate the pathophysiological pathway by which a tick bite can induce alpha-gal allergy in human subjects.

Answer: The tick ingests alpha-gal from a mammal and transfers it to the human, prompting IgE antibody production.

Explanation: A tick bite can lead to alpha-gal allergy when the tick ingests alpha-gal from a mammal and subsequently transfers it to a human, triggering the human immune system to produce IgE antibodies against alpha-gal.

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Describe the principal mechanism of action attributed to the neurotoxins elaborated by *Ixodes holocyclus*.

Answer: Failure of acetylcholine secretion at neuromuscular junctions.

Explanation: The primary mechanism of action of *Ixodes holocyclus* toxins is thought to be the failure of acetylcholine secretion at neuromuscular junctions, leading to paralysis.

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Among the listed options, which represent initial clinical indicators of tick envenomation in canines and felines?

Answer: Lethargy, loss of appetite, altered voice, and noisy panting.

Explanation: Early signs of tick envenomation in dogs and cats can include lethargy, loss of appetite, altered voice, and noisy panting.

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Tick-borne Pathogens and Controversies in Australia

*Ixodes holocyclus* serves as the principal vector for Queensland tick typhus, caused by *Rickettsia australis*, and Flinders Island spotted fever, caused by *Rickettsia honei*.

Answer: True

Explanation: *Ixodes holocyclus* is indeed the main vector for Queensland tick typhus and Flinders Island spotted fever, both rickettsial spotted fevers.

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The ongoing debate concerning Lyme-like spirochaetal disease in Australia arises from an absence of clinical case reports, notwithstanding the conviction of some medical practitioners regarding its presence.

Answer: False

Explanation: The controversy surrounding Lyme-like spirochaetal disease in Australia exists *despite* clinical case reports, with some medical professionals believing it exists and others denying it.

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Erythema migrans (EM), an initial dermatological manifestation of Lyme-like disease, characteristically emerges within 24 hours post-tick bite and rapidly resolves, akin to an allergic exanthem.

Answer: False

Explanation: Erythema migrans typically appears after a delay of 48 hours and gradually expands, often forming a 'target' or 'bullseye' appearance, unlike allergic rashes that fade quickly.

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For which specific rickettsial spotted fevers does *Ixodes holocyclus* serve as the primary vector?

Answer: Queensland tick typhus and Flinders Island spotted fever.

Explanation: *Ixodes holocyclus* is the main vector for Queensland tick typhus and Flinders Island spotted fever.

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Which of the following describes a characteristic feature of Erythema migrans (EM) in the context of Lyme-like disease?

Answer: It typically appears after a delay of 48 hours and gradually expands, often forming a 'target' or 'bullseye' appearance.

Explanation: Erythema migrans (EM) typically appears after a delay of 48 hours and gradually expands, often forming a 'target' or 'bullseye' appearance, distinguishing it from immediate allergic reactions.

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Clinical Management and Prevention of Ixodes holocyclus Bites

The therapeutic efficacy of anti-tick serum in managing tick paralysis in companion animals is critically contingent upon the timeliness of its administration.

Answer: True

Explanation: The effectiveness of anti-tick serum for treating tick paralysis in pets is critically dependent on how early it is administered.

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During tick removal, the application of agents such as methylated spirit or tea-tree oil is advised to facilitate the tick's spontaneous detachment.

Answer: False

Explanation: Substances like methylated spirit or tea-tree oil should be avoided during tick removal as they may irritate the tick, potentially causing it to inject more noxious substances.

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In the absence of freezing ether-spray for adult tick removal from humans, fine, curved forceps should be employed to grasp the tick's body and effect rapid extraction.

Answer: False

Explanation: If freezing ether-spray is unavailable, fine, curved forceps should be used to grasp the tick's mouthparts as close to the skin as possible, avoiding squeezing the body.

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Excised ticks should be preserved in an arid, unsealed container to inhibit oviposition by the female.

Answer: False

Explanation: Removed ticks should be stored in a small airtight container with moist paper or a leaf to prevent desiccation and to contain any eggs laid by an engorged female.

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What factor is paramount for optimizing the therapeutic efficacy of anti-tick serum in the management of tick paralysis in companion animals?

Answer: Its early administration.

Explanation: The effectiveness of anti-tick serum for treating tick paralysis in pets is critically dependent on its early administration.

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Which chemical agents should be eschewed during tick removal attempts, and what is the underlying rationale?

Answer: Methylated spirit, nail polish remover, or tea-tree oil, as they may irritate the tick and cause it to inject more noxious substances.

Explanation: Substances like methylated spirit, nail polish remover, or tea-tree oil should be avoided during tick removal because they may irritate the tick and cause it to inject more noxious substances.

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In the absence of freezing ether-spray, what is the recommended procedure for extracting adult ticks from human hosts?

Answer: Grasping the tick's mouthparts as close to the skin as possible using fine, curved forceps, avoiding squeezing the body.

Explanation: If freezing ether-spray is unavailable, the recommended method for removing adult ticks on humans is to grasp the tick's mouthparts as close to the skin as possible using fine, curved forceps, avoiding squeezing the body.

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What is the appropriate methodology for the preservation of excised ticks?

Answer: In a small airtight container with moist paper or a leaf, labeled with date and locality.

Explanation: Removed ticks should be stored in a small airtight container with moist paper or a leaf, labeled with the date and locality, for potential later identification and to prevent egg laying.

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