Ticks (Tick Bites)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
- Tick facts
- What are ticks?
- What are tick bite symptoms and signs?
- What diseases do ticks transmit (act as vectors) to humans?
- How is a tick bite diagnosed?
- What are the symptoms and signs of diseases transmitted by ticks?
- What is the treatment for a tick bite?
- How is a tick removed from the skin?
- What is the prognosis (outlook) for people who get a tick bite?
- What are the risk factors for tick bites?
- How are bites from ticks prevented?
- Where can I find more information about ticks?
- Patient Comments: Ticks - Bite Symptoms
- Patient Comments: Ticks - Removal
- Patient Comments: Ticks - Treatment
- Patient Comments: Ticks - Prevention
- Ticks are scientifically classified as Arachnida (which includes spiders). The fossil record suggests ticks have been around at least 90 million years.
- Most tick bites do not transmit pathogens.
- There are a variety of tick-borne diseases.
- There is a wide range of symptoms that usually develop days to weeks after the tick bite. The symptoms that become manifest depend on the particular microbe (pathogen) that is transmitted.
- For all tick bites, local cleansing and antibiotic cream may be applied.
- There are safe and effective methods for the removal of all types of ticks.
What are ticks?
Ticks are small arachnids. Ticks require blood meals to complete their complex life cycles. Ticks are scientifically classified as Arachnida (which includes spiders). The fossil record suggests ticks have been around at least 90 million years. There are over 800 species of ticks throughout the world, but only two families of ticks, Ixodidae (hard ticks) and Argasidae (soft ticks), are known to transmit diseases or illness to humans. Hard ticks have a scutum, or hard plate, on their back while soft ticks do not.
Ticks have a complex life cycle that includes eggs, larvae, nymphs, and adult male and female ticks. The larvae, nymphs, and adults all need blood meals. Usually, the female adult (hard tick) is the one causing the most bites as males usually die after mating. Ticks do not jump or fly. They simply reach out with their legs and grab or crawl onto a host. Although some larvae have preferred hosts, most ticks in the nymph or adult phase will attach a get a blood meal from several different kinds of animals, including humans. Except for a few species of larval ticks, the immature phases (larvae, nymphs) usually are even less selective about where they get a blood meal and are known to bite snakes, amphibians, birds, and mammals. Larvae are very small (about 1/32 of an inch with six legs), while nymphs are about 1/16-1/8 inch with eight legs and adults about 3/16-1/4 inch with eight legs. The complex life cycles are described in the last web citation below, and all of the web citations include pictures of various species of ticks. Although ticks will die eventually if they do not get a blood meal, many species can survive a year or more without a blood meal. The hard ticks tend to attach and feed for hours to days. Disease transmission usually occurs near the end of a meal, as the tick becomes full of blood. It may take hours before a hard tick transmits pathogens. Soft ticks usually feed for less than one hour. Disease transmission can occur in less than a minute with soft ticks. The bite of some of these soft ticks produces intensely painful reactions.
Ticks are vectors (transmitters) of diseases for humans and animals. Ticks can transmit disease to many hosts; some cause economic harm such as Texas fever (bovine babesiosis) in cattle that can kill up to 90% of yearling cows. Ticks act as vectors when pathogens in their saliva and mouth secretions get into the host's skin and blood. Ticks were understood to be vectors of disease in the mid-1800s, and as investigative methods improved (microscopes, culture techniques, tissue staining), more information showed the wide variety of diseases that could be transmitted by ticks.
There are many common names for various ticks (for example, dog tick, deer tick, and African tick), and these names appear in the scientific literature, too. Most common names represent a genus of ticks (see below). However, the common name "red" may be used by people to describe almost any tick that has had a blood meal.
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