Case 200. Reference case 200E

　 　 　 　
　 Australian tick bite paralysis caused by Ixodes holocyclus in a 35 y-o Japanese female. 　
　 　 　 　

　

 　 A tick was stuck on the scalp during a trip in Queensland State, Australia. Ixodes holocyclus is known to secrete strong paralytic neurotoxin termed holocyclotoxin.