Evaluation of Tick-Bite Cases with Infection Agents among Patients Visiting State Hospital in Malatya, Turkey

Year 2015, Volume: 1 Issue: 1, 1 - 6, 28.04.2015

Ulku Karaman , Neval Arserim , Pınar Yücefırat Ali Beytur İlhan Geçit , Erdal Karcı Mesut Karadan

Abstract

Objevtive: The study aims to determine where the patients who visited applied to the state hospital with tick-bites between April-September 2009 to evaluate bitten areas of the body and species separation that forms infestation and the cases in terms of bacterial and viral infection.

Methods: The patients, who had tick-bites, applied to the state hospital to form the material of the study. Anamnesis was taken from the patients applied to the hospital. It was recorded that where the patients came from and where the infestation was.

Results: Patients' serological test results were found within normal levels. Tick type found as 69 Hyalomma marginatum, 29 Rhipicephalus bursa, 27 Hyalomma anatolicum anatolicum, 21 Hyalomma aegyptium, 19 Hyalomma anatolicum excavatum, 12 Rhipicephalus sanguineus, 9 Dermacentor marginatus, 7 Haemaphysalis parva, and 4 Hyalomma detritum. Also it was determined that there were 3 larvas and 5 nimfs belonged to Hyalomma species in a growth phase and 1 nimf belonged to Haemaphysalis.

Conclusion: It was concluded in the study that the H. marginatum, known as crimean-congo haemorrhagic fever vector, is more common than the other types and it is a risky situation for the city to be geographically near to the regions where the virus is seen, thus some precautions should be taken. 

Keywords

Tick, Malatya, bacterial infection, viral infection

References

• Al B, Yildırim C, Söğüt Ö, Yesilkaya A. The evaluation of 39 tick bites applied to Batman State Hospital Emergency Service in seven months. Akademik Acil Tıp Derg, 2008; 7: 40- 43.
• Despommier DD, Gwadz RW, Hotez PJ, Knirsch CA. Parasitic diseases, 4. ed., Apple Trees Prod, New York. 2000
• Edlow JA, Mc Gillicuddy DC. Tick paralysis. Infect Dis Clin North Am, 2008; 22: 397-413.
• Ergonul O. Crimean-Congo hemorrhagic fever. Lancet Infect Dis, 2006; 6: 203-214.
• Estrada-Pena A, Vatansever Z, Gargili A, Aktas M, Uzun R, Ergonul O, Jongejan F. Modeling the spatial distribution of Crimean-Congo hemorrhagic fever outbreaks in Turkey. Vector- Borne Zoonotic Dis,2007; 7: 667-78.
• Gargili A. Ticks as a vector and the condition in Turkey. ANKEM Derg, 2009; 23: 249-252.
• Hoogstraal H. The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa. J Med Entomol, 1979; 15: 307-417.
• Jongejan F, Uilenberg G. The global importance of ticks. Parasitology, 2004; 129: 3-14.
• Kara A. Removing Ticks. Çocuk Sağ ve Has Derg, 2008; 51: 117-122.
• Karaer Z, Yukari BA, Aydin L. The ticks in Turkey and ticks as vectors, In: Özcel MA, Daldal N (eds): Arthropod diseases in Parasitology and vectors, T Parasitol Dern Izmir, Turkey. ed: 13. 1997; 363-434,
• Kondratenko VF. Importance of ixodid ticks in the transmission and preservation of the causative agent of Crimean hemorrhagic fever in foci of the infection. Parasitologia, 1976; 10 (4): 297- 302.
• Sayin F, Dincer S, Karaer Z, et al. Status of tick infestation of sheep and goats in Turkey. Parasitologia, 1997; 39: 145-52.
• Sparagano O, Allsop MT, Mank RA, Rijpkema SG, Figuerova JV, Jongejan F. Molecular detection (Acari:Ixodidae): a review Exp Appl Acarol, 1999; 23: 929-60. DNA in ticks Sparagano O, Jongejan F. Molecular characterization of ticks and tick borne pathogens. Parasitologia, 1999; 41: 101-5.
• Sümer A. The evaluation of the patients applied to Kaş State Hospital Emergency Service due to tick bites. Kafkas Univ Vet Fak Derg, 2010; 16: 49-53.
• Taşkesen M, Okur N, Taş M.A. The evaluation of 19 cases applied due to tick-bites Dicle Tıp Derg, 2008; 35: 110-113.
• Vatansever Z, Midilli K, Deniz A, Ergin S, Alp H, Gargili A. The vector of Crimean-Congo Haemorrhagic marginatum. Conference Urgup,Turkey. 2007; 257 Hyalomma m. 15th