Case 2: Acute Ascending Paralysis in a 4-Year-Old Boy

Benjamin M. Greenberg, MD

Disclosures
In This Article

Diagnosis

We diagnosed AIDP (Guillain-Barré syndrome) in this child and began therapy with IVIG. Just after the first dose was completed, the patient's mother noticed a small lump on the patient's scalp which turned out to be a tick (Figure 1).

The Dermacentor sp. tick shortly after removal from its host.

We made a new diagnosis of tick paralysis.

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