ArticleCureus2026
Deep Subcutaneous Tick Embedding Following Prolonged Attachment: A Case Report and Mini-Review of Tick Fixation Mechanisms.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Bionic intelligent responsive barbed microneedles synergistically remodel the microenvironment for the treatment of refractory pigmentation disorders (melasma).Materials today. Bio · 2026Article
- Tick-Borne Encephalitis in the 21Le infezioni in medicina · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prolonged tick attachment with deep subcutaneous embedding is uncommon in humans but may complicate tick removal in primary care. Firm fixation is mediated by the tick's barbed hypostome and the secretion of glycine-rich salivary cement, which together anchor the mouthparts within the dermis. Awareness of these mechanisms is important when standard extraction techniques fail. A patient presented with a live, engorged tick deeply embedded in the skin after several days of attachment. The tick's anterior body and mouthparts were firmly fixed within the dermis, and surrounding erythema migrans was observed. Initial removal using a tick tweezer was incomplete due to persistent fixation, necessitating minor surgical exploration to extract residual fragments. This case highlights that prolonged and unusually firm tick attachment can occur and may require surgical removal when conventional extraction is unsuccessful. Recognizing the mechanical and biochemical mechanisms of tick fixation can guide safe management, prevent retained mouthparts, and support favorable outcomes in primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.