2017
DOI: 10.1097/md.0000000000007394
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Human otoacariasis caused by Amblyomma testudinarium

Abstract: Rationale:Tick infestation of the external auditory canal (EAC) constitutes <1% of all patients presenting with ear complaints. Consequently, parameters for the diagnosis and management of ticks in the EAC have not been established.Patient concerns:We report 2 cases of EAC infestation by Amblyomma testudinarium in 2 female patients, aged 12- and 72 years old.Diagnoses interventions and outcomes:In both patients, otoscopic examination revealed engorged ticks attached to the ear canal. The 12-year-old girl had a… Show more

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Cited by 11 publications
(3 citation statements)
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“…and Dermacentor spp. were associated with human otoacariasis, especially Amblyomma testudinarium (8) and Dermacentor steini (9). However, Haemaphysalis spp.…”
Section: Introductionmentioning
confidence: 99%
“…and Dermacentor spp. were associated with human otoacariasis, especially Amblyomma testudinarium (8) and Dermacentor steini (9). However, Haemaphysalis spp.…”
Section: Introductionmentioning
confidence: 99%
“…Though the aural infestation of a tick may not be an emergency, it needs to be addressed due to the pain, inflammation and local irritation that it will lead to. 9 Studies done on otoacariasis such as that by Indhudaran et al have described complications spanning from ear bleeding, vertigo to even facial nerve weakness with otitis media. 10 Ticks are known to release neurotoxins which inhibit acetylcholine, thus leading to respiratory distress or even paralysis.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, a novel thogotovirus, named as Oz virus, was isolated from A. testudinarium collected in Ehime prefecture, Japan (Ejiri et al, 2018). Cases of human bites have been reported elsewhere (Isohisa et al, 2011;Nakao et al, 2017). Moreover, the cases of tickassociated rash illness (TARI) showing manifestation of erythema migrans (EM) without association of Lyme disease have been reported in the patients who were bitten by this tick species (Natsuaki et al, 2014).…”
mentioning
confidence: 99%