Star Tribune - Tick-borne diseases strike in Minnesota; metro child dies
By PAUL WALSH, Star Tribune, July 29, 2009 - 7:27 PM
Picture: From left to right: wood tick, female deer tick and nymph of deer tick which is about as large as a period at the end of a sentence.

Two serious tick-borne diseases have surfaced in Minnesota, with one of them claiming the life of a child in Dakota County this month, state health officials said this afternoon.
The child most likely was bitten — in Dakota County — by a tick infected with Rocky Mountain spotted fever, the state Health Department said. This is the first reported fatality from this disease in Minnesota this year, the department said.
The other disease, Powassan (POW) encelphalitis, struck an adult in Cass County this year and a child in the same county last year, the department said.
“Both individuals were hospitalized with severe neurological symptoms and have made some improvement but are requiring ongoing care,” the department said today.
Since this virus was first identified in 1958 in Powassan, Ontario, about 50 cases have been identified in the United States and Canada. The patients in Minnesota represent the western-most human cases identified in North America, state health officials said.
Sporadic cases of Rocky Mountain spotted fever have been reported around Minnesota in past years, the department said. About 2,000 cases are reported annually in other parts of the United States.
“Rocky Mountain spotted fever is quite rare in Minnesota compared to Southeastern states,” said Melissa Kemperman, an epidemiologist specializing in tick-transmitted diseases with the state Health Department, “but this recent fatality and the high numbers of American dog ticks in our state underscore the need to be aware of this serious disease and to prevent bites from any kind of tick.”
The American dog tick, the Rocky Mountain wood tick, and the brown dog tick can all carry the bacteria. “Here in Minnesota, the American dog tick — also called the wood tick — is very common throughout the state, and it often bites people,” Kemperman said.
Signs and symptoms for both diseases arise within two weeks of an infectious tick bite. Many patients never see the tick that bit them.
People with POW encephalitis or meningitis may have fever, headache, vomiting, weakness, confusion, loss of coordination, speech difficulties, and memory loss. Long-term problems are common, and about 10 percent of reported cases have died from their illness.
Signs and symptoms of Rocky Mountain spotted fever include high fever, headache and a rash. Patients may also have muscle pain, joint pain, malaise, nausea, vomiting and loss of appetite. About 5 percent of patients die from their infection.
“Although we believe that the overall risk of these two diseases is low in our state,” said Dr. Ruth Lynfield, Minnesota’s state epidemiologist, “it is really important to take measures to prevent tick bites and to seek prompt medical care if you develop illness soon after spending time in tick habitat.”
To prevent tick-borne diseases, people are encouraged to use tick repellents containing DEET (up to 30 percent concentration) or permethrin.
Paul Walsh • 612-673-4482