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A Case of Engorged Female Hard Tick in the External Auditory Canal of an Infant

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초록

An oval-shaped mass with a smooth surface was found in the ear canal of a 22-month-old male infant. Although the mass appeared to be almost entirely blocking the ear canal, it was successfully removed under a surgical microscope without general anesthesia at the outpatient department. Under an optical microscope with hematoxylin and eosin staining, the specimen was observed to have a cuticle with a serrated surface and a pore canal, as well as parts of the capitulum, salivary glands, muscles, midgut, and the legs. The specimen was identified as a hard tick of the family Ixodidae, based on gross and histological findings. This paper is the first report in Korea on the diagnosis and treatment of a tick bite in the ear canal.

Abstract

An oval-shaped mass with a smooth surface was found in the ear canal of a 22-month-old male infant. Although the mass appeared to be almost entirely blocking the ear canal, it was successfully removed under a surgical microscope without general anesthesia at the outpatient department. Under an optical microscope with hematoxylin and eosin staining, the specimen was observed to have a cuticle with a serrated surface and a pore canal, as well as parts of the capitulum, salivary glands, muscles, midgut, and the legs. The specimen was identified as a hard tick of the family Ixodidae, based on gross and histological findings. This paper is the first report in Korea on the diagnosis and treatment of a tick bite in the ear canal.

참고문헌 (10)

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  2. Hard tick species including SFTS-infected ticks and bite cases in the Republic of Korea. Public Health Weekly Report, "Shin EH", KCDC, 342~345 (2014)
  3. Patil MM, "Tick induced facial palsy", Indian Pediatr, 49, pp.57~58 (2012)
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  5. Kallini JR, "Ticks and tick bites presenting as"Funny Moles" : a review of different presentations and a focus on tick-borne diseases", J Clin Aesthet Dermatol, 10, pp.46~50 (2017)
  6. Gökdoğan O, "Otoacariasis : demographic and clinical outcomes of patients with ticks in the ear canal", Braz J Otorhinolaryngol, 82, pp.416~421 (2016)
  7. Barker SC, "Ticks of Australia. The species that infest domestic animals and humans", Zootaxa, 3816, pp.1~144 (2014)
  8. Shimada Y, "Ixodid tick species recovered from domestic dogs in Japan", Med Vet Entomol, 7, pp.38~45 (2003)
  9. Grady CA, "Dermacentor tick attached to tympanic membrane", Lancet, 378, pp.347~ (2011)
  10. Prakairungthong S, "Temporal bone histopathology case of the month: acute unilateral facial paralysis in child from intra-aural hard tick", Otol Neurotol, 33, pp.81~82 (2012)

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