Cr. H. F. Nutt ALL 
99 
extending np the arms and legs and was gradually accompanied by loss 
of motion. 
The morning 1 was called the tongue and throat were also affected, 
the child was unable to talk distinctly and could not swallow. Was 
rational all the time. On examination, I found paralysis of motion 
of the arras and legs, sensation present in the limbs, pupils dilated, 
temperature sub-normal, expres.sion dull and patient inclined to somno¬ 
lence. I found a big fat tick about the size of a large bean attached 
about two inches posterior to the right ear in the hair. I removed the 
tick antiseptically and left a few doses of strychnine. In two hours 
there was improvement in her condition which continued, when 
in six or seven days the child was completely recovered. (Signed) 
G. W. Gregg.’ 
In this case you will observe the initial symptoms were described by 
her parents as beginning in the hands, then in the feet. I feel 
confident this is not correct, as reports from the laity are not always 
dependable. It is my opinion the symptoms began in the feet. 
The following interesting reports come from Dr E. C. Kirby, of 
Elgin, Oregon: 
‘ Case 6. Baby K., age 2, July, 1913. Tick bite on right shoulder, 
not found or removed until the patient was nearly dead. Temperature 
104°, complete paralysis, protruding tongue, spotted, mottled and reddish 
condition of entire body, duration three days ; death followed. 
Case 7. Willie C., age 4, residing near the summit of Blue 
Mountains, in wood camp; temperature 104°, marked paralysis of 
tongue and jaw, tongue thick and protruding. Paralysis as a whole 
complete, reflexes absent. 
Patient had been sick about four days before I saw him. Skin 
mottled, purplish, patient removed to the hospital, became unconscious 
and died. Location of tick on right temple bone. 
Case 8. . Willie Burger, age 7 ; first complained for several days of 
being ill, the walking wobbly, eyes became fixed. When I was called I 
found tick attached to nape of neck ; removed by excision ; pulse very 
rapid'; patient did not seem alarming ; patient grew worse until he 
could not stand ; falling backward when he fell. Put him to bed for 
three weeks ; recovery after six weeks. 
Case 9. James M., age 5, taken sick with chill and high fever. 
I was called in on same day. Tick located on right ear. Tempera¬ 
ture 104°, no paralysis; tick removed and patient made rapid 
recovery. 
