A tick bite and a good book . . .

8 years ago

First, the bite: I've been sick (still am, but getting a little better each day) from one (or both) of two tick bites I discovered August 4--one on the back of each knee. I took two doxycycline right away, and watched for symptoms. One knee swelled a bit and got hot, but that subsided. Then about 10 days later I suddenly got very sick . . . one minute fine, the next minute chills and fever and sweats with no obvious cause. But I knew the cause.

The illness is worth mentioning here because of the size of the ticks. They must have been larvae, so small they weren't identifiable as ticks even when viewed under a standard sort of magnifying glass. I needed the little folding high-powered glass my dad gave me years ago. Of course, I knew what they were even before IDing them because I've been through this so many times. But I wanted to make sure I'd removed all parts of them.

I'm grateful that my tick bites itch; otherwise I never would have found these. I run my hands over my legs at night, front and back, and never felt these bites. If you inspect yourself for ticks, don't expect to see something with legs or feel a little bump. If it's big enough, you will. But it could also be like the ones that bit me. Imagine the smallest speck of ground black pepper.

About the book: Now that I feel well enough to read (it required too much effort before), I'm thoroughly enjoying The Enchanted Life of Adam Hope. Happy to recommend it to you. If any of you have read it, please don't tell the ending. I'm not there yet. :-)

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aok27502

8 years ago

Have you been specifically diagnosed with anything? I work outside, and have had a number of tick bites over the years. Some of them I only discovered when they started to itch. I've never had any adverse reaction requiring more than a swab with alcohol.

There was a segment on NPR last week about tick borne illness. They talked a lot about Lyme disease, and one expert said that, if you remove the tick within 24-36 hours, your chances of being infected are nearly zero.

I hope you are on the mend soon!

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Comments (24)

marilyn_c
8 years ago
I hope you are better soon and with no lasting effects from the tick bites. I live in the country, on a bayou, woods and fields all around, and have never had a tick on me, or any of my numerous horses and dogs. I have seen one raccoon with a tick in her ear, but puzzled why there are no ticks here. Grateful, mind you, but puzzled. I grew up about 30 miles from here, in a small town, and had my horses get ticks in their ears, and ticks on my dogs.
Alisande thanked marilyn_c
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ticks, ticks and more ticks
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USDA Studies: Ivermectin for Tick Control http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8667385&dopt=Abstract Knipling-Bushland U.S. Livestock Insects Research Laboratory, USDA-ARS, Kerrville, TX 78028-9184, USA. Whole-kernel corn was treated with 10 mg ivermectin per 0.45 kg corn and fed at rate of approximately .45 kg/deer per day to white-tailed deer confined in the treatment pasture, whereas deer in an adjacent control pasture received a similar ration of untreated corn. Treatments were dispensed from February through September of 1992 and 1993, and free-living populations of lone star ticks. Amblyomma americanum (L.), were monitored in both pastures using dry-ice traps to quantify nymphs and adults and flip-cloths to assay the relative abundance of larval masses. Control values that were calculated for all ticks collected in both pastures during 1993 showed 83.4% fewer adults, 92.4% fewer nymphs and 100.0% fewer larval masses in the treatment versus control pasture. Serum ivermectin concentrations in treated deer averaged 21.7 and 28.3 ppb during 1992 and 1993, respectively. These values compared favorably with the goal concentration of 30.0 ppb which was anticipated under ideal conditions. This study demonstrates that a freely consumed, systemically active acaricidal bait ingested by white-tailed deer under nearly wild conditions can significantly reduce the abundance of all stages of free-living lone star ticks. http://www.ars.usda.gov/research/publications/publications.htm?SEQ_NO_115=115671 The effectiveness of the endectocide, ivermectin administered daily to cattle infested with all life stages of B. microplus was evaluated. Cattle were treated at dose rates of 25 and 50 mcg of ivermectin per kg of body weight for a period of 21 days. While both ivermectin treatment doses were highly effective (>99% control), the 50 mcg/kg/d dose was more effective than the 25 mcg/kg/d dose against all life stages of the tick. The presence of ivermectin in the blood of the cattle caused high mortality in the ticks, as well as producing dramatic adverse effects in the reproductive capability of the ticks that were able to survive and detach from the cattle. Based on the results of this study, the potential for use of ivermectin and other acaricides with similar chemistries is encouraging. The use of these types of acaricides applied by different delivery systems, such as long-term boluses or medicated feed systems has great promise for future applicability in the Boophilus eradication program.... ...overall control achieved at both doses of ivermectin was >99% against all parasitic stages, the 50 mcg/kg/d dose was more effective (P http://www.afpmb.org/pubs/misc/researchreview2004/4b-Pound.ppt http://live.psu.edu/story/19217 Deer-free areas may be haven for ticks, disease Wednesday, August 30, 2006 -------------------------------------------------------------------------------- University Park, Pa. -- Excluding deer could be a counterproductive strategy for controlling tick-borne infections, because the absence of deer from small areas may lead to an increase in ticks, rapidly turning the area into a potential disease hotspot, according to a team of U.S. and Italian researchers. "Deer are referred to as dilution hosts or dead-end hosts," says Sarah Perkins, a postdoctoral researcher at Penn Stateâs Center for Infectious Disease Dynamics. "They get bitten by ticks but never get infected with tick-borne pathogens, such as the bacteria causing Lyme disease." However, deer are critical to adult female ticks in the last stages of their three-part lifecycle. Ticks use them for a final blood meal before dropping off to produce thousands of eggs, Perkins explains. Currently, health officials believe that removing deer from the equation could disrupt the tick lifecycle and leave fewer ticks to feed on rodents, which, unlike deer, can transfer a range of tick-borne pathogens. Ultimately the tick-borne disease will fade out. However, previous field studies show that removing deer sometimes leads to higher tick densities and sometimes lower, and the outcome seems dependent on the size of area from which deer are excluded. "Very few studies have looked at how removing the deer affects the intensity of tick bites on rodents, and how it relates to the size of the area from where the deer are excluded," explains Perkins, whose findings are published in the current issue of the journal Ecology. Researchers first collected data from published information on tick densities in deer excluded areas ranging in size from roughly 2.5 acres to 18 acres. Next, over a six-month period, they captured rodents from a 2.5-acre deer excluded area in the Italian Alps in a known hotspot for tick-borne encephalitis -- a disease passed to humans through the bite of an infected tick. "From previous studies we found that tick densities decreased in (geographically) large areas and increased dramatically in smaller areas," suggesting that there is a threshold area - from where deer are excluded - for tick populations to either increase or decrease, notes the Penn State researcher. Statistical analyses of ticks on the captured rodents indicated that compared to the control areas, the deer-excluded areas hosted a significantly higher number of nymph and adult female ticks, as well as a high prevalence of tick-borne encephalitis. Because tick-borne encephalitis is transmitted only between ticks feeding on these rodents, the findings suggest how small deer-free areas could quickly turn into a disease hotspot. "This goes somewhat against conventional wisdom. When you remove deer, it does not always reduce the tick population," says Perkins. "If you were to exclude deer from hundreds of acres, tick numbers will fall. But in an area less than 2.5 acres, you are more likely to increase tick density and probably create tick-borne hotspots." Researchers say the study demonstrates how the strategy of keeping deer away may work only for large areas but is likely to amplify tick populations in smaller areas. Fragmented patches of forest and small parks that are off-limits to deer could also turn into a disease reservoir, they caution. "We need to be cautious about keeping deer away from small areas, even peopleâs backyards, as it might only lead to more ticks that are infected with tick-borne pathogens," says Perkins. She adds that forest areas deer consistently avoid also have the potential of turning into a haven for tick-borne disease. Other authors of the paper include Isabella M. Cattadori, postdoctoral scholar, and Peter J. Hudson, the Willaman Professor of Biology, both at Penn State University, and Valentina Tagliapietra and Annapaola P. Rizzoli, Centro di Ecologia Alpina, Italy. A grant from the Autonomous Province of Trento, Italy, supported this work. The Penn State Center for Infectious Disease Dynamics is at http://www.cidd.psu.edu/. Contact Amit Avasthi axa47@psu.edu http://live.psu.edu 814-865-9481 Contact Vicki Fong vfong@psu.edu http://live.psu.edu 814-865-9481 The Pennsylvania State University Â© 2006 http://www.wildlifeprotein.com/index.cfm/fa/categories.main/parentcat/16705
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Another thing you can get from ticks: Anaplasmosis
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Comments (18)
To all who have wished me a speedy recovery: Thank You! I am feeling steadily better (1 month out), and expect to be back to full strength shortly. @Alisande, If you think you may have babeseosis at the moment, then insist on being tested. Same with anaplasmosis, both are less-difficult than Lyme to diagnose from blood smears, I believe. (The issue with the blood supply, aside from the traditional head-in-the-sand attitude of the blood industry, and of course the cost, is that there is no rapid-enough test for babeseosis -or possibly the other tick-borne diseases -to work with the need for fresh blood.) But as I mentioned, anaplasmosis has distinct, characteristic, changes in routine blood work that are almost diagnostic. I can check next time I am in the medical library if there are specific changes in the case of babeseosis. I may have that info for erlichiosis, if you'd like to know it. Anaplasmosis has distinctive mullberry shaped artifacts (morullae) in the disease-specific blood smears (as does erlichiosis, I believe). Babeseosis is different but unless you, like I, have had malaria it's pretty distinctive in the blood test for it. The tests aren't inexpensive (the unadjusted street price for them is $500-$1,000 -each- but my insurance company whacked both of them down considerably. Since you're on Medicare, you'd only pay a percentage of the CMS-negotiated cost which is likely to be as aggressively moderated as that of my own insurance company's contractual rate. Since all three are bacterial, not spirochete, -caused it doesn't require the complex analysis of PCR bands that Lyme does. But frankly if I was on my second continuous month of Lyme I would have pretty awful constitutional symptoms from that lengthy treatment alone. I can barely make it out the 30 days of a single course before I have disturbed sleep, night sweats, muscle aches and pains, etc. Part of my fierceness about discovering ticks early is to avoid the need for the lengthy course of anti-Lyme doxy. Since doxy won't really do anything for babeseosis - and other drugs will - why keep taking what may be the wrong cure? I don't think you would experience symptoms from babeseosis or anaplasmosis (or even Lyme) infection before locating the tick. The incubation time needed to get sick from a still-attached tick would have resulted in a deer tick as big as a green pea, a nasty pearly-grey tight blob. It's hard to imagine you wouldn't have noticed it well before getting sick if it was still attached. Don't you itch like mad when you have a tick attached for more than a few hours, not to mention days? I'd be wild! BTW, the tick-hours-of-bite measurement has a built in problem: the aging relies on analysis of stomach digestive contents. But that assumes, and it is not always true, that the bite the tick was discovered making is the only bite, not a second one. Also you mentioned you squashed the critter in removing it. You might want to consider beginning more intensive searches for ticks on your body twice a day in order to not miss one. I have hair so long I can sit on it so I do realize it can be hard to check your scalp and hair. I have also found attached ticks under my breasts, in my belly button, on various unmentionable parts of my bottom, and even larval ones between my toes and fingers. I usually keep my long hair tied up in pigtail outdoors. I tuck the pigtail down the back of my shirt to minimize the likelihood of ticks getting caught in my hair. Of course I always have a hat on outside for sun protection, so my head and scalp are less-common tick areas. I do tick-checks at least twice every day of the year, unless I am away from home overnight in the city. It's just like brushing your teeth. I'm not convinced that Lyme "lurks in your body" but given that it is caused by spirochete I suppose it's possible. (Another spirochete-caused illness, syphillis, has a proven habit of lingering on and re-occurring, often despite treatment.) I know, for certain, that I have had Lyme (from clearly positive blood tests), been treated successfuly and subsequently had lengthy periods of profound physiological, and mental stress, without Lyme popping back up and adding to the problems. And I still have one band for Lyme on the latest PCR, which indicates an old, resolved infection, so there's no question it's still visible in my blood, but not thankfully making a pest of itself. I also still have serological evidence of malaria in my blood and I haven't had any illness from it in more than fifty years! But the bacterial diseases (anaplasmosis, babeseosis and erlichiosis) seem extremely unlikely lurkers and later-pouncers, especially if treated. What I definitely think they can do, however, is damage other organs and systems resulting in consequential, long-term problems (like the poor fellow described above who lost his spleen as a result of a babeseosis infection.) Your description of high fevers, muscle aches and pains, etc., sound much more like anaplasmosis than Lyme. Did you have any "regular" blood tests done at the time? The average time from bite to onset of symptoms with anaplasmosis is 8 days. I could look that time up for erlichiosis and babseosis, if needed. I don't know enough about Fibro, but aren't night sweats and aches and pains part of that, too? You may not need to go to any doctor more specialized than your primary care doc to check for the bacterial tick-borne illnesses. And then you'll be able to know, and treat, any that are there. I didn't get any hint that the tests for them lead to confusing, or contradictory results, as I know the Lyme test can, because it is a different, and more complicated test.. If you test negative for them, including having normal routine blood results, you can cross them off your list of worries and look elsewhere. (And get off the wretched doxy!) HTH, L.
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So ... read any good books lately?
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Well, the library continues to grow ... I just this afternoon recieved Carla Emery's fine reference book 'The Encyclopedia of Country Living' (the updated 9th edition) and have been browsing through it between bites of dinner. Gosh, what an excellent piece of work this is! It's obvious the love she put into it during the 32 plus years that she spent compiling and writing. As an aside, a book doesn't need to be new to be useful ... mine are because I don't have a nearby source of used books of this type. So I get the new ones from Amazon.com and offset that by donating all my unused used books to the Mark Skinner Library ... so far two decent sized boxes of them. But I also have a number of very old used (obviously!) books that I found in a trunk out in the barn.
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Tick bite!
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Nope. I was surprised, too, that the doc prescribed only a single dose of doxy. I questioned my son as to why a single dose. Son said that the doc said the tick wasn't buried in very far so that may have been a factor. This from the CDC: In areas that are highly endemic for Lyme disease, a single prophylactic dose of doxycycline (200 mg for adults or 4.4 mg/kg for children of any age weighing less than 45 kg) may be used to reduce the risk of acquiring Lyme disease after the bite of a high risk tick bite. This happened while I was in MX so I picked up a bottle of doxy & brought home w/ me knowing we were in for a bumper crop of ticks this year. Mild winter & lots of moisture.
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User
8 years ago
Hope your feeling better and continue to do so. Happy reading. I'll bet your garden is gorgeous!
Alisande thanked User
Elmer J Fudd
8 years ago
last modified: 8 years ago
I'm very sorry about your illness and hope you feel better very soon.

From prior comments, I think I understand that you believe you have made a principled decision to not use any pest control service or system in your yard that could reduce the tick population. And you don't want to move to another location with a lower tick infestation level.

I respect that but I've experienced myself that not infrequently well reasoned decisions can lead to undesired consequences. The outcome is usually the priority objective (rather than the decision) and adverse outcomes will often change or redirect what's done. I hope you can give you own health a higher priority and in whatever way can find a way to have a healthier place to live.

Best wishes.
Alisande thanked Elmer J Fudd
Alisande
Original Author
8 years ago
They talked a lot about Lyme disease, and one expert said that, if you remove the tick within 24-36 hours, your chances of being infected are nearly zero.

I'm a fan of NPR, but I have to laugh at "expert" opinions in general when it comes to tick-borne illness. There's no consensus. Nobody knows anything definitively. It's a mess. This particular statement makes no sense whatsoever to me. IF the tick is infected (not all are), I can't see it holding off transmitting that infection for 24-36 hours. I used to submit ticks to a Vector Control agency for examination. In the beginning they said larvae couldn't infect people; later, they changed their minds about that. From the CDC on down, the recommendations on ticks and treatment is in a state of flux that seems never-ending.

I have been in past years diagnosed with Lyme, Babesiosis, and Bartonella, but didn't bother this time. I just called the doctor and asked for a prescription.

Marilyn, a lot must depend on our body chemistry. I have high levels of ammonia, the thing ticks like best. Maybe you have high levels of rose geranium oil, the thing they like least. LOL

Nicole, my garden is practically nonexistent, unfortunately, except for lots of iris that were magnificent this spring but bloom so briefly. I did no gardening at all this year, not even hanging baskets on the porch. Even my bean arch was bare! My beloved cousin Barbara, my long-distance gardening buddy, died in early July after battling cancer for 11 months, and I just didn't have the heart to visit a nursery or put a seed in the ground. I hope to be back in the groove next year.
User
8 years ago
I hope you feel better soon.

We had ticks growing up. We found keeping the place mowed cut down on them. My dad told me my great grandparents used to burn the land every fall to keep the numbers in check. They used to dip their cattle in something too. I can happily say I haven't seen a tick for many years. I don't miss them.
User
8 years ago
last modified: 8 years ago
I'm so sorry about your gardening buddy. Your garden used to bring you so much joy...and others you shared it with. Your bean arch was truly a home made wonder!

I'm starting from scratch at this new house. German bearded iris, because they are so hardy is one thing I did put in(I found 247 free on CL, she said they were ALL colors). I'm also trying a black lace Elderberry...clematis, gold honeysuckle vine, spirea & ornamental grasses.

Hope you'll post photos next Summer.....looking forward to seeing everyones garden bounty!
graywings123
8 years ago
How do you examine the back of your knee? You must use a mirror? I have barely worn shorts all summer due to the amount of mosquitoes around my area.

I have heard that the tiny ticks are more likely to carry Lymes than larger ones. Ick!
Alisande thanked graywings123
Alisande
Original Author
8 years ago
Nicole, you're off to a great start! Looking forward to your pics next year.

Graywings, it wasn't easy. Yes, a mirror and a flashlight and my strong desk lamp and a pair of sharp-nosed tweezers--not necessarily all at once. :-)
eld6161
8 years ago
last modified: 8 years ago
(((((HUGS)))
User
8 years ago
I encourage the possums to visit as often as they like. I hope your blood has been tested and the doctor did not simply decide that a broad spectrum antibiotic was all that was needed as not all tick borne things can be managed without a specific treatment. I too am a person that when I itch in a certain way I know I have a tick somewhere in that area. Makes it handy to know where to look.

Years ago in a bad tick year I was lying in bed looking out the window trying to nap and I saw what looked like two spiders crawling on the windowsill. They were small ticks and as I watched a third tick crawled though a small opening caused by a bent screen.
lgmd_gaz
8 years ago
Alisande, my sympathies go out to you in your seemingly constant battle with ticks. The neighbor that lives behind me also is in constant battle...and fear of what she loves most, working in her yard and tending the flowers. I see her out there daily, hands in her pockets in an effort to not touch. I certainly do wish you well in this latest battle.
lily316
8 years ago
It sucks that PA is the number one state for ticks. It's another reason I hate summer so much. I really fear to be in my jungle backyard anymore and after I planted all my containers of flowers in the spring, I have been out very little. I cannot stand the heat and humidity which get worse every year but worse than that I got a horrible case of poison ivy (which I never was allergic to at all before), had three ticks which I fortunately caught crawling up my arm and have a gazillion mosquitoes buzzing around me all the time. I have birdbaths and ponds and it's a real challenge even to walk thru my yard. That scares me about the teeny ones. I'd never be able to see them. I hope the Sentinel and Nexgard I use on the dogs works. The cats don't leave the house.
sjerin
8 years ago
Susan, I'm so sorry you continue to do battle with these diseases. I would say that you are a near-expert on the subject and wish the medical community would pay more attention to what you have to say. Will you continue to have bouts of illness or did you 'catch it' in time with the meds to recover fully? I don't blame you nor Lily for not going outside unless you have to!

I'm so very sorry about your cousin's passing--you were like sisters, as I understand. I must have missed this sad news in July. I hope your grandchild(children?) make you smile.
aok27502
8 years ago
The "expert" interviewed for the NPR story was Dr. Thomas Mather.

He is Director of University of RI’s Center for Vector-Borne Disease, and seems pretty expert to me. I'll take his word for it.
Alisande thanked aok27502
marilyn_c
8 years ago
I doubt that, Alisande. Sure my horses and dogs don't smell like rose geranium oil either. ;)
User
8 years ago
At my old house, which backed up on a large wooded area with tons of deer, we always had ticks. At this house in town, I haven't seen any deer or any ticks. Our dogs still get monthly anti-flea-and-tick meds, because I don't want to take any chances.
Alisande
Original Author
8 years ago
Adellabedella, I wonder if the ticks you grew up with were the same as the ones causing problems now. When we first came to PA 40+ years ago we had the occasional dog tick to deal with, but that was it. I remember being grossed out by my first look at an engorged tick. Little did I know . . .

Maifleur, I had no idea ticks would be inclined to enter a house like that. I assumed they stayed outside sniffing around for urine. I know two of my cats have brought them indoors. Even though I've treated with Frontline Plus (or this year, Revolution), the ticks don't die immediately.

Sjerin, thank you so much for remembering Barbara. I haven't announced it at the KT. I put it off, and then time passed. But maybe I will anyway. Some other members probably remember her as well. I know I've posted pictures of her artwork over the years. Yes, we called each other Sis. There were three daughters from my mother and her two sisters, all around the same age. The third, Terry, died 10 years ago. Everyone at the KT was rooting for her when she had a liver transplant, and wonderful to me when she died a few days later.

I don't know how to predict the long-term effects of my current round of tick-borne illness. I had identical symptoms about 10 years ago without treatment. By the time I discovered the tick bite, my fever had gone down, and I was pretty clueless. So was my doctor. I remember the weakness lasted many weeks, and the night sweats lasted a few years, off and on (mostly on). They finally stopped when I started juicing vegetables. This is why I'm so faithful about juicing.

I eventually found out my symptoms were caused by babesiosis, so common in its very mild form and so hard to test for that it's present in our public blood supply. It's treated with anti-malarials, and I refused treatment because I have good reason to fear liver damage. When it appeared I might have been reinfected last week, I was so sick and felt so discouraged, and started to think I might be getting too old for this. But as I said, I feel a little better (and therefore a little more optimistic) every day. Babesiosis is said to always be a co-infection with Lyme, so the doxycycline I'm taking is helping that part of it anyway.
User
8 years ago
If I had not actually seen the ticks coming into the house that way I would have just thought someone was playing tricks.

If treated with antimalaria drugs I wonder what a weeks worth of tonic water would do.
Alisande
Original Author
8 years ago
That's an interesting thought, Maifleur. I like tonic water--although I don't know if the supermarket stuff actually has quinine in it. But I'm curious to see if the online Lyme community has discussed it. Thanks for mentioning it.
raee_gw zone 5b-6a Ohio
8 years ago
Some 26 years ago my 8 year old was clearly not feeling well, tired and listless. I had found the stereotypical Lyme "bullseye" rash on her arm (never saw a tick, but she had been playing around the woodpile so I assume that is where she was bitten) If the tick had been on her for 24 hours I am pretty sure that I would have seen it since I helped her bathe every night.

It took visits to 3 different MDs to convince them that this was not a spider bite - the last was the Children's hospital, who also thought it might be Lyme. They put her on antibiotic for a month, drew serologies and instructed us to come back in month. She was feeling much better in a week.

Unfortunately when we returned for follow-up, it was a new group of residents and attendings, and no one saw the necessity for a convalescent serology since, as the attending said, "whatever it was she is clearly over it now". So no confirmation that it was Lyme, and no reporting to public health either.

I firmly believe that the reason there is still so much conflicting information, and also why infectious disease specialists didn't think there was Lyme in this area for so many years, is that personal MDs don't/didn't suspect it, or if they did and treated for it, they didn't confirm with test and didn't report it.
Alisande thanked raee_gw zone 5b-6a Ohio
skibby (zone 4 Vermont)
8 years ago
Alisande, I hope you feel on top of your game soon.
Alisande thanked skibby (zone 4 Vermont)
sleeperblues
8 years ago
I'm sure you have tried this, but worth mentioning. Spray permethrin on your clothes to keep ticks away. Stays on for about 6 washings, I believe. You don't put it on your skin, just your clothes. Hope you feel better!
Alisande thanked sleeperblues
Alisande
Original Author
8 years ago
Thanks, Sleeperblues. Yes, I have the Sawyer clothing spray. I haven't used it in a long time though, because it's highly toxic to cats and with both indoor and outdoor cats I had a hard time drying the sprayed clothes. But thanks to the Salvation Army I have a nice assortment of white cotton pants and long-sleeved white cotton men's dress shirts. I tuck the pants into white cotton socks and cover with rubber boots, and the dress shirts go over my t-shirts. This, plus gloves and rose geranium oil, is my gardening outfit. My son calls me The Ghost. :-)

A tick bite and a good book . . .

aok27502

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