What does a skin infection by a tick look like?

What does a skin infection by a tick look like? - briefly

A tick bite typically appears as a tiny red or pink bump with a puncture point in the center, which may be surrounded by a spreading rash that forms a bull’s‑eye pattern. If an infection develops, the site becomes painful, swollen, and may produce pus or a crusted lesion.

What does a skin infection by a tick look like? - in detail

A tick bite may produce a localized skin reaction within hours to days. The earliest sign is a small, red papule at the attachment site, often accompanied by mild swelling and tenderness. As the lesion expands, it can develop into a larger erythematous area, typically 5–10 cm in diameter, with a clear central zone surrounded by a darker ring—commonly described as a “bull’s‑eye” pattern. This configuration, known as erythema migrans, may appear 3–30 days after the bite and is the hallmark of early Lyme disease.

Additional visual characteristics include:

  • Uniform redness: a diffuse, pink to reddish patch without a central clearing; may be warm to the touch.
  • Vesicular formation: small blisters that may rupture, leaving shallow erosions.
  • Ulceration: deeper necrotic tissue, often dark or black, indicating a more severe infection such as tick‑borne rickettsial disease.
  • Papular rash: raised, firm bumps that may coalesce into larger plaques.
  • Purpuric spots: pinpoint hemorrhages within the lesion, suggesting vasculitis.

Accompanying symptoms often help differentiate the cause:

  • Mild itching or burning with erythema migrans.
  • Severe pain, fever, chills in rickettsial infections.
  • Joint stiffness or headache when systemic involvement is present.

Progression typically follows a pattern: initial papule → expanding erythema → possible central clearing → secondary changes (vesicles, ulceration). Persistence beyond two weeks, rapid enlargement, or the development of necrotic centers warrants immediate medical evaluation. Early recognition of these visual cues enables prompt treatment and reduces the risk of long‑term complications.