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‘I got Tourette’s syndrome after being bitten by a mosquito while on holiday in Thailand’

A DAD has told how he was diagnosed with Tourette’s syndrome after being bitten by a mosquito while on holiday in Thailand.

Ross Constable, 48, got the seemingly harmless bite on a 10-day family getaway to Phuket.

Man standing outside a house, holding an umbrella.
Ross Constable/Instagram

Ross Constable contracted dengue fever while on holiday in Thailand[/caption]

Man holding framed owl artwork.
Ross Constable/Instagram

The 48-year-old said he had found comfort in his work as an artist[/caption]

But, after arriving back home to Timperley, Greater Manchester, the secondary school art teacher began to fear something was wrong.

He started to feel severely unwell, with extreme fatigue, body aches and a high fever.

The panicked dad-of-one decided to phone 111, and was advised to speak to a doctor, who told him he may have contracted a bug on his flight back from Thailand.

It wasn’t until weeks later that Ross was diagnosed with the potentially fatal dengue fever, a disease spread by mosquitoes.

Recalling the events, which took place before Christmas in 2019, Ross described skin shedding from his whole body after his return to the UK.

Speaking to Manchester Evening News, he added: “I was bedbound for two weeks … I was really thirsty, sleeping a lot and in and out of consciousness.”

Ross’s body felt like a “liquid jelly mass”, while he also suffered bleeding gums, painful joints, excruciating pain behind his eyes and extreme dizziness.

During one episode, he was even unable to recognise his own partner.

He said: “I struggled to go back to work. I felt like I was losing my mind a bit, why do I feel like this, why am I not getting better?”

The 48-year-old was also starting to experiencing Alice in Wonderland syndrome – a neurological disorder which distorts the perceived size and shapes of objects.


“I felt like I could feel knees to feet, I was taller than buildings around me and arms would stretch across the car park,” Ross added.

Despite his diagnosis, doctors remained perplexed by Ross’s new symptoms – which also included muscle spasms and difficulty speaking.

Ross would later find out that he had developed Tourette’s syndrome in addition to dengue fever.

The tics soon became so extreme that they were triggered even by the slightest sounds and movements.

Around this time, Ross’s deteriorating health also led to mental health issues, including anxiety and depression – which were worsened by medication prescribed for his Tourette’s, which left him feeling numb to his emotions.

While dengue fever does not itself cause Tourette’s syndrome directly, it can in rare cases trigger neurological complications such as inflammation of the brain.

And some evidence suggests a link between tic disorders and inflammation triggered by the body’s immune response.

Since the traumatic events of 2019, Ross’ s dengue fever and potential Japanese encephalitis have subsided, but he is still learning to live with his Tourette’s – which will likely be a life-long condition.

However, he said he had found comfort in his art – with an upcoming show at Hepplestone Art Gallery in Wilmslow on May 8 – as well as the support of family and friends.

It comes after fellow holiday-maker Serenity Tanner also contracted dengue fever, which she thought was a simple case of heat stroke.

The 20-year-old started to feel unwell after a day of surfing in the Philippines – before starting to hallucinate.

She was rushed to a local medical centre by a neighbour, where she was diagnosed with the rare viral infection.

What are the symptoms of dengue fever?

Dengue won’t always cause symptoms, according to NHS guidance.

But if you do experience some, they’ll usually come on four to 10 days after an infected mosquito bites you.

The symptoms can be similar to the flu and include:

  • Fever
  • Severe headache
  • Pain behind the eyes
  • Muscle and joint pain
  • Nausea and vomiting
  • Widespread rash
  • Abdominal pain
  • Loss of appetite

There is no cure or specific treatment. 

Patients can relieve their symptoms via painkillers, staying hydrated and resting.

In rare cases, dengue symptoms can develop into severe dengue.

Elderly patients, or those with other medical conditions, are most at risk. 

Severe dengue fever symptoms can include:

  • Severe skin bleeding with spots of blood on and under the skin
  • Blood in the urine and stools
  • Respiratory distress – when the lungs cannot provide the vital organs with enough oxygen
  • Organ failure
  • Changes in mental state and unconsciousness
  • Dangerously low blood pressure

You should call 999 or go to A&E if you experience any of the severe symptoms.

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