ArticleParasites & vectors2011
Small risk of developing symptomatic tick-borne diseases following a tick bite in The Netherlands.
Article in Parasites & vectors, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
28 citing papers in PubMed, 81 citations in OpenAlex.
- Clinical and epidemiological characteristics of tick bites in a Spanish tertiary hospital: a three-year retrospective study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026Article
- Incidence of Lyme borreliosis following Ixodes ricinus tick bites in Poland: a citizen science approach.Parasites & vectors · 2025Article
- The prevalence of pathogens in ticks collected from humans in Belgium, 2021, versus 2017.Parasites & vectors · 2024Article
- Spotted Fever GroupVeterinary sciences · 2022Article
- Self-reported symptoms and health complaints associated with exposure to Ixodes ricinus-borne pathogens.Parasites & vectors · 2022Article
- Low Risk Perception about Ticks and Tick-Borne Diseases in an Area Recently Invaded by Ticks in Northwestern Italy.Veterinary sciences · 2021Article
- Long-term study of Borrelia and Babesia prevalence and co-infection in Ixodes ricinus and Dermacentor recticulatus ticks removed from humans in Poland, 2016-2019.Parasites & vectors · 2021Article
- Ticking on Pandora's box: a prospective case-control study into 'other' tick-borne diseases.BMC infectious diseases · 2021Article
- Evaluation of factors influencing tick bites and tick-borne infections: a longitudinal study.Parasites & vectors · 2021Article
- Emerging Human Babesiosis with "Ground Zero" in North America.Microorganisms · 2021Review
- Prevalence of pathogens in ticks collected from humans through citizen science in Belgium.Parasites & vectors · 2019Article
- Tick-borne pathogens in Finland: comparison of Ixodes ricinus and I. persulcatus in sympatric and parapatric areas.Parasites & vectors · 2018Article
- Control of Lyme borreliosis and other Ixodes ricinus-borne diseases.Parasites & vectors · 2018Review
- Babesia spp. in questing ticks from eastern Poland: prevalence and species diversity.Parasitology research · 2015Article
- Vector-borne disease intelligence: strategies to deal with disease burden and threats.Frontiers in public health · 2014Article
- High-throughput screening of tick-borne pathogens in Europe.Frontiers in cellular and infection microbiology · 2014Article
- Tick-borne pathogen - reversed and conventional discovery of disease.Frontiers in public health · 2014Review
- Ixodes ricinus ticks removed from humans in Northern Europe: seasonal pattern of infestation, attachment sites and duration of feeding.Parasites & vectors · 2013Article
- Sensitivity of a point of care tick-test for the development of Lyme borreliosis.Parasites & vectors · 2013Article
- Ticks and associated pathogens collected from dogs and cats in Belgium.Parasites & vectors · 2013Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn The Netherlands, the incidence of Lyme borreliosis is on the rise. Besides its causative agent, Borrelia burgdorferi s.l., other potential pathogens like Rickettsia, Babesia and Ehrlichia species are present in Ixodes ricinus ticks. The risk of disease associated with these microorganisms after tick-bites remains, however, largely unclear. A prospective study was performed to investigate how many persons with tick-bites develop localized or systemic symptoms and whether these are associated with tick-borne microorganisms.
resultsIn total, 297 Ixodes ricinus ticks were collected from 246 study participants who consulted a general practitioner on the island of Ameland for tick bites. Ticks were subjected to PCR to detect DNA of Borrelia burgdorferi s.l., Rickettsia spp., Babesia spp. or Ehrlichia/Anaplasma spp.. Sixteen percent of the collected ticks were positive for Borrelia burgdorferi s.l., 19% for Rickettsia spp., 12% for Ehrlichia/Anaplasma spp. and 10% for Babesia spp.. At least six months after the tick bite, study participants were interviewed on symptoms by means of a standard questionnaire. 14 out of 193 participants (8.3%) reported reddening at the bite site and 6 participants (4.1%) reported systemic symptoms. No association between symptoms and tick-borne microorganisms was found. Attachment duration ≥24 h was positively associated with reddening at the bite site and systemic symptoms. Using logistic regression techniques, reddening was positively correlated with presence of Borrelia afzelii, and having 'any symptoms' was positively associated with attachment duration.
conclusionThe risk of contracting acute Lyme borreliosis, rickettsiosis, babesiosis or ehrlichiosis from a single tick bite was <1% in this study population.
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