Barw Barw Medical Journal 2960-1959 2024 03 28 Tick Infestation on the Scalp Leading to Misguided Medical Consultation: A Case Report 10.58742/5dkgfp23 eng Ronak Saeed Ahmed Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq , 2. Dermatology Teaching Center for Treating Skin Diseases, Sulaimani Directorate of Health, Sulaymaniyah, Kurdistan, Iraq . Runak.SSaeed@gmail.com Azad Star Hattam Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. azad.star@gmail.com Hiwa O. Abdullah Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan, Iraq. hiewaom96@gmail.com Bilal A. Mohammed Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. bilal.aa@gmail.com Karzan M. Hasan Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. karzan.mh@gmail.com Honar Othman Kareem Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. honar.o@gmail.com Sasan M. Ahmed Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaymaniyah, Kurdistan, Iraq. sasan.m@gmail.com Hemin S. Mohammed Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. hemn.s@gmail.com Shvan Omar Siddiq Dermatology Teaching Center for Treating Skin Diseases, Sulaimani Directorate of Health, Sulaymaniyah, Kurdistan, Iraq and Kurdistan Board of Medical Specialties, Runaki Street, Erbil, Kurdistan, Iraq. shvan.o@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. Fahmi.Hussein@univsul.edu.iq 2024 02 15 Introduction Ticks frequently target wild, hairy mammals and can cause diverse complications when biting humans. This report highlights a case of scalp tick infestation in a child, leading to seeking unrelated medical consultation. Case presentation A 7-year-old female presented with a severe headache and neck stiffness for two days. The parents brought their child to a neurology clinic. Then, the patient was referred to a dermatology clinic due to a scalp tick infestation. The patient suffered from severe pain and irritability, making it difficult to tolerate any touch of the scalp. Physical examination revealed a few bleeding points, with a single grey tick (Ixodes species) firmly attached to the scalp. It was gently removed using blunt forceps and after 10 days of follow-up, there were no signs of scalp rash, fever, or lymphadenopathy. Conclusion Tick bites on the scalp can present with severe headaches and neck stiffness that may be disguised as other neurological conditions and cause seeking non-related medical consultation.