Recurrent splinter haemorrhages weeks after a tick bite

T S van der Werf; J E Tulleken; J G Zijlstra

Recurrent splinter haemorrhages weeks after a tick bite

Neth J Med. 2004 Jul-Aug;62(7):260, 264.

Authors

T S van der Werf¹, J E Tulleken, J G Zijlstra

Affiliation

¹ Intensive and Respiratory Care Unit, Department of Internal Medicine, Groningen University Medical Centre, PO Box 3001, 9700 RB Groningen, the Netherlands. t.s.van.der.werf@int.azg.nl

PMID: 15554603

Abstract

A 52-year-old man developed fever, headache, tinnitus, and painful joints. He reported a tick bite contracted during a summer holiday in the Netherlands, followed by erythema on his left arm three weeks earlier. Initial treatment with doxycycline had failed and he had now developed signs of meningoencephalitis. Laboratory tests showed an increased white cell count (16.1 x 10(9)/1), and elevated ESR (51/1h).

Publication types

Case Reports

MeSH terms

Anti-Infective Agents / therapeutic use
Bites and Stings / complications*
Bites and Stings / microbiology
Chronic Disease
Diagnosis, Differential
Hemorrhage / diagnosis
Hemorrhage / etiology
Humans
Male
Middle Aged
Nails / pathology
Purpura / diagnosis
Purpura / etiology
Recurrence
Tick-Borne Diseases / complications*
Tick-Borne Diseases / drug therapy
Vasculitis / diagnosis*
Vasculitis / microbiology

Substances

Anti-Infective Agents