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[Ticks and the pediatrician].

P Occorsio1, G Orso, L di Martino

  • 1A.O.R.N. Santobono-Pausilipon III Pediatria, P.O. Santobono Napoli.

Parassitologia
|August 13, 2004
PubMed
Summary

In Italy, tick bites on children are common in warmer months. This study identified Lyme disease and Mediterranean spotted fever in a small number of cases, highlighting the need for better surveillance and awareness of tick-borne illnesses.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Context:

  • Tick bites in children are a seasonal concern in Italy, often occurring during spring and summer outdoor activities.
  • Parents frequently seek emergency care for tick removal, sometimes after attempting empirical methods.
  • A lack of specialized pediatric reference centers for tick-borne diseases hinders accurate diagnosis and surveillance.

Purpose:

  • To investigate the incidence and types of tick-borne diseases in children presenting with tick bites in Campania, Italy.
  • To identify specific cases of Lyme disease and Mediterranean spotted fever.
  • To assess the need for improved surveillance and public awareness regarding tick-borne illnesses.

Summary:

  • A study of 167 children with tick bites in Campania (2002-2003) identified one case of Lyme disease (Borrelia burgdorferi) and three cases of Mediterranean spotted fever (Rickettsia conorii).
  • The Lyme disease case presented with fever and malaise, confirmed by high antibody titers and Western Blot testing.
  • Two Mediterranean spotted fever cases showed typical symptoms (tache noire, fever), while one presented atypically without rash.

Impact:

  • The findings suggest a potentially low incidence of diagnosed tick-borne diseases in Campania, but this may be due to underreporting and lack of specialized centers.
  • Highlights the importance of accurate tick removal and prompt medical attention for suspected tick-borne illnesses.
  • Emphasizes the need for enhanced cooperation between pediatricians and veterinarians, and the establishment of regional reference centers for tick-borne diseases to improve surveillance and public information.

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