Abstract
A Japanese male repeatedly infested with Amblyomma testudinarium in Malaysia was reported. He visited to Ulu Gombak, Malay Peninsula, Malaysia on April and May 2007, and he recalled three times of tick bite during traveling. The first tick bite was by one nymph infested on the inner side of the brachium of the patient. After a few days, erythema with a diameter of 2 cm was found at the site of tick attachment. Pain of the site remained for 20 days. The second tick bite was by larvae infested on the skin surface of the abdomen, basal portion of the thigh, and scrotum of the patient. He felt a pain at the moment of tick infestation. The pain remained for 15 days. The third tick bite was by a larva, and the tick was found in the phyma of his back immediately after his return Japan.
