Home » About Tashua » Messages from the School Nurse » A NOTE FROM OUR NURSE ~ June 2018




You’ve pulled an attached tick off your child, now what?

According to the American Academy of Pediatrics, the risk of Lyme disease after a deer tick bite is low, especially with brief attachment. Even in high risk areas, like CT, only 2% of deer tick bites cause Lyme disease. The risk is higher if the deer tick was attached for longer than 36 hours and/or if it is swollen, not flat. About 80% of Lyme disease starts with a bull’s eye rash, as in the picture above, at the site of the tick bite. It starts, on the average, at 7-10 days (but can occur anywhere from 3-30 days after the bite), grows quickly and lasts 2-3 weeks. Treatment of this rash with an antibiotic is advised to prevent heart, joint and neurologic problems in the future.

Call your child’s doctor right away if:
-You can’t remove the tick
-A widespread rash occurs 2-14 days after the bite
-Fever or headache start 2-14 days after the bite
-Fever and the bite appears infected with spreading redness
-A weak, droopy face or crooked smile is noted
-Your child looks or acts very sick

Call your child’s doctor within 24 hours if:
-Deer tick was attached over 36 hours or if it is swollen (engorged)
-New redness starts more than 24 hours after the bite (possible infection)
-Over 48 hours since the bite and redness is getting larger
-Red ring or bull’s eye rash occurs around a tick bite.


Susan Quigley, RN, NCSN

June 2018 Tiger Times