Ticklish distinctions
=====================

* Claudia C. dos Santos
* Kevin C. Kain

**[The authors respond:]** 

We thank John Scott for identifying a typographical error in this report: the sentence that mentions Long Point peninsula should have read "... Long Point peninsula *and* [not *in*] Point Pelee National Park."

We did not claim that there were exactly, or only, 250 locations where either *I. scapularis* or *I. pacificus* has been found, nor is this relevant. The point is simply that although ticks capable of transmitting *Borrelia burgdorferi* or *Babesia* spp. or both have been found in a number of locations in the country, they are only established in a few.

Scott is incorrect that blacklegged tick is the only commonly used name for *I. scapularis.* The term deer tick remains in common use in the medical literature and lay press (in fact, the Centers for Disease Control refer to them as deer ticks in their public information handouts on Lyme disease).

More importantly, Scott's comments in no way change the conclusion or implications of this case. In fact, since this case was submitted for publication, we have identified and treated 3 more cases of babesiosis in residents of Ontario.