Tick in both external auditory canals: An extremely rare case report

Abstract

Foreign bodies in the external auditory canal (EAC) are common conditions experienced in the otorhinolaryngology practice. The most commonly implicated foreign bodies in EAC include cotton bud, paper, legume, fruit seed, nuts, toy parts, pen tip, and rubber. However, living objects are rarely reported. The presence of a tick in both EACs is extremely rare. In this report, we present a 55-year-old female patient who was detected with tick in both EACs, which is an extremely rare case in the literature. In the patients presenting with the symptoms of foreign bodies in EAC, living objects should be kept in mind, particularly those lead to serious morbidity and mortality such as ticks that are mostly presented by people living in rural areas. Doctors in endemic and rural areas should be more careful about this issue.