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This article describes carefully parasitism by ticks hard under various medical issues ranging from biological signs of the notes up to the management of the patient follow-up, passing through the induced symptoms and therapeutic procedures. Just dealing therapeutic procedures is especially important because they compare various techniques proposed by the literature and is then proposed technique that determines the lowest risk of transmission of potentially infected material between the mite and man. Despite the treatment of parasitism is considered a medical practice trivial, given the banality of parasitism in fact among the medical community to see applied different treatment protocols are not always entirely accurate.

The massive presence of the pigeon (Columba livia f. domestica) in urban areas not only is cause of serious aesthetic damages as decline of squares, of churches, of statues and buildings, but often creates many hygienic and medical problems. The pigeon, in fact, can transmit a great number of pathogenic agents and also be infested by several ectoparasites. Among these, Argas reflexus (Acari: Argasidae), the well known pigeon tick, is the most important ectoparasite that can involve also human health. Buildings infested by A. reflexus and attacks by this tick species to man are frequently reported, with an increasing interest for human health. In fact the pigeon tick bites can induce anaphylactic reactions for the presence of allergens, and as vector, the tick can also transmit some pathogens. This review deals with actual knowledge on the distribution, eco-biology, vector competence, prevention and control of A. reflexus in Italy.