100 
Tich Paralysis 
I have had many tick bites among adults that cause ugly 
indolent ulcers; have also had abscesses from the bites. (Signed) 
E. C. Kirby.’ 
I mention this last case to indicate to you the different effects 
produced by tbe bite of the tick. T presume there is not a physician 
who has practised in Eastern Oregon a great length of time who has 
not had severe ulcers from the infection of the tick bite. 
It is my opinion the different effect lies in the fact that there are 
such a variety of ticks inhabiting the Eastern Oregon region. 
The following interesting report comes from Dr E. T. Anderson, now 
of Weiser, Idaho. I preface this report by saying that Dr Anderson 
was my successor in practice at Enterprise, Oregon, and of necessity^ 
covering the same field from which my first three cases are re¬ 
ported : 
‘ Case 10. E. A., Sept. 3rd, 1908 ; male, age 8 ; was in normal health 
the evening before, in the morning was unable to stand upon his feet, 
progressive motor paralysis, ascending in character, sphincters involved, 
no pain; tempei'ature 102 pulse 110, respiration 32, reflexes absent 
in lower extremity. Examination revealed two ticks, one large tick 
distended with blood overlying one small one [doubtless $ and (/] 
attached to the nape of the neck, within the hair. 
Removal of tick was followed by rapid recovery. No other treatment 
instituted. Recovery complete in three days. (This was the doctor’s 
own little son. Author.) 
Case 11. Bessie B., June 7, 1909, age 13. Reported b}^ telephone. 
The symptoms of acute ascending paralysis was described. I instructed 
them to look for ticks, the same being found over posterior scalp and 
removed. The child promptly recovered from the paralysis, but from 
the seat of attachment a large burrowing abscess formed, very indolent 
in character. I treated this with irrigation (antiseptic) and painted 
with silver nitrate solution 10 per cent, with complete recovery. 
(Doubtless in this case the tick’s head [capitulum] was not removed 
and a severe local infection followed. Author.) 
Case 12. Bessie J., May 4, 1910; age 2 years, 3 months. Patient 
moribund when first seen, dying within the hour thereafter; the evening 
before apparently in good health. When first seen presented picture of 
complete motor paralysis, with relaxation of the sphincters, pulse 60, 
temperature 97°, respiration 46, tongue protruding, phonation absent 
and unable to swallow, reflexes absent. Death. One single tick 
attached at base of occiput. 
