98' 
Tick Paralifsis 
was nervous, temperature low, pulse rapid, knee reflexes absent, and the 
child was unable to stand upon her feet. I told the mother the 
child had symptoms of Tick Paralysis, and we would again attempt to 
locate the tick. 
A careful search located a single tick at the vertex, slightly to one 
side of the part of her hair. The tick was removed under antiseptic 
precautions. The child had completely recovered the day following its 
removal. No other treatment was used. 
Case 4. Little girl, aged 4, name Welch, of Ukiah, Umatilla county. 
At this time I was practising at Pendleton, Oregon. I was called by 
telephone from a distance of forty miles. The little girl’s symptoms 
were described to me as follows by the father. The child had seemed, 
well the day previous, but at this time she was unable to stand upon 
her feet; she complained of no pain, seemed well so far as the father 
could see, except that she had lost control of the lower limbs. I directed 
the father to return to his home, search the child carefully for ticks, 
especially upon the head, with instructions to notify me of the results 
of the search. He returned within two hours and informed me that 
the ticks had been located, two in number, on the back of the child’s 
head. He had removed them according to my instructions with 
kerosene. The father reported the following day that the child 
was very much better and a prompt recovery ensued, thus avoiding 
a forty dollar doctor bill by telephone consultation. No other treat¬ 
ment was used. 
Of the four cases herewith reported, three were from Wallowa 
county and one from Umatilla county. No two from any immediate 
locality and being separated probably 200 miles, but all in the range of 
the Blue mountains of Eastern Oregon. 
It is also noteworthy that the ticks are usually located in pairs ; 
this being for the purpose of fertilizing the ovum and that the principal 
location is in the hair of the head. 
Case 5. The following report comes from Dr G. W. Gregg, Ashland, 
Oregon. He says; ‘ In reference to ticks I have seen but one case of 
paralysis from tick bite. Have seen at least two others that presented 
rather severe local infection, but no paralysis. The case in point 
occurred about twelve years ago, while I was practising at Wallowa, 
Oregon. I was called about six miles north of Wallowa to see a little 
girl, age seven, whom the parents had informed me had about three 
days previously complained of tingling and slight numbness in the 
fingers of both hand.s, which soon extended to the toes, then gradually 
