PDF(Pubmed)
Abstract：
Otoacariasis is the presence of ticks and mites within the ear canal. Though the coexistence of ticks and humans is known for thousands of years, tick infestation is relatively rare in urban population. The most common presenting symptoms are usually itching, otalgia and a foreign body sensation and less frequent ones are tinnitus and otorrhoea. We report cases of otoacariasis with unusual presentation. A total of 43 cases presented to the ENT clinic in our hospital over a period of three years from 2018 to 2021. We present patients who presented with unusual symptoms of conductive hearing loss, ear bleed, and facial palsy. Total of 6 cases of otoacariasis had unusual presentation. 2 cases presented with lower motor neuron palsy, 1 case with ear bleed, and 3 cases with hearing loss. Otocariasis can present with unusual symptoms of hearing loss, ear bleed or facial palsy and this should be included in the differential diagnosis of a patient with history of close proximity to domestic or wild animals. Detailed examination often reveals the presence of the tick and identification and complete removal along with appropriate medication for associated symptoms often results in complete recovery.
摘要：
耳虫病是耳道内的蜱和螨的存在。尽管蜱和人类共存已有数千年的历史了，蜱虫感染在城市人口中相对罕见。最常见的症状通常是瘙痒，耳痛和异物感和不常见的是耳鸣和耳带。我们报告了表现异常的耳虫病病例。从2018年到2021年，在三年的时间里，共有43例患者被送到我们医院的耳鼻喉科诊所。我们呈现的患者有不寻常的传导性听力损失症状，耳朵出血,和面神经麻痹.共有6例耳螨病表现异常。2例表现为下运动神经元麻痹，1例耳朵出血,3例听力损失。口虫病可以表现出不寻常的听力损失症状，耳部出血或面部麻痹，这应该包括在与家畜或野生动物关系密切的患者的鉴别诊断中。详细的检查通常会发现蜱的存在，并且识别和完全去除以及相关症状的适当药物治疗通常会导致完全恢复。
