Editing Tick paralysis (section)

==Signs and symptoms==

Tick paralysis results from injection of a toxin from tick salivary glands during a blood meal after being attached for 3 to 7 days, causing [[fatigue]] within and weakness in both legs that progresses to [[paralysis]].  [[Deep tendon reflexes]] are usually [[Hyporeflexia|decreased]] or absent. The [[Ascending paralysis|paralysis ascends]] to the trunk, arms, and head and may lead to [[respiratory failure]] and death. The disease can present as acute [[ataxia]] without muscle weakness. People may have minor sensory symptoms, such as local numbness, but no fever or headache or change in mental status.<ref name="simon">{{Cite journal |last=Simon |first=Leslie V. |last2=West |first2=Brian |last3=McKinney |first3=William P. |date=2025 |title=Tick Paralysis |url=https://www.ncbi.nlm.nih.gov/books/NBK470478/ |location=Treasure Island (FL) |publisher=StatPearls Publishing |pmid=29262244}}</ref>

[[Ophthalmoplegia]] and [[bulbar palsy]] can occur.{{cn|date=January 2023}}