Botulism typically produces a descending paralysis. Symptoms include blurred vision, dysphagia, dysarthria, ophthalmoplegia, weakness, and areflexia, and can progress to complete paralysis and ...

After the tick was removed, the patient improved, indicating a diagnosis of tick paralysis (TP). The tick should be grasped with blunt, angled forceps as close as possible to the skin and to the ...