From Diagnosis to Treatment of Human Otoacariasis: Demographic and Clinical Characteristics of Patients.

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2022-09-01 Epub Date: 2022-11-15 DOI:10.4274/tao.2022.2022-6-14
Orhan Asya, Semih Karaketir, Şeyma Görçin Karaketir, Ali Bilgin Yılmaz
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引用次数: 2

Abstract

Objective: Otoacariasis is the presence of ticks and mites in the ear canals of humans or animals, and particularly common in rural areas. This study aimed to present the clinical characteristics of patients that presented with ticks in their ear canal.

Methods: The study was conducted with a total of 425 patients with 527 ticks in their ear canal at the Muş Malazgirt State Hospital Ear-Nose-Throat Clinic between June 2019 and June 2020. The removed ticks were examined at the parasitology laboratory of Van Yüzüncü Yıl University.

Results: Of the 425 cases included in the study, 72% (n=306) were female and 28% (n=119) were male (mean age 40±20, minimum-maximum: 4 months-81 years). A total of 527 ticks were removed in the one-year period. Three-hundred-and-fifty-one patients had adult or nymph ticks, and 74 patients had a larval form of the tick. Of the patients with adult or nymph tick, foreign body sensation was the dominant symptom in 68.7% (n=242), whereas pain was the dominant symptom in 62% (n=46) of those with larval tick. In the comparison between groups, foreign body sensation was statistically significantly higher in the adult tick group, and pain was higher in the larval tick group (p<0.001). There were no systemic diseases related to the ticks in any of the cases.

Conclusion: Ticks in the ear is endemic in Eastern Anatolia and poses a public health problem. Tick infestations could be minimized with various precautions and educating the general public on preventive methods. Our study is the largest series in the literature on cases with ear ticks.

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从诊断到治疗人耳蛔虫病:患者的人口学和临床特征。
目的:耳螨病是指人或动物耳道内存在的蜱虫和螨虫,在农村地区尤为常见。本研究旨在介绍耳道内蜱虫患者的临床特征。方法:研究对象为2019年6月至2020年6月在穆乌伊马拉兹吉特国立医院耳鼻喉门诊就诊的425例患者,耳道内有527只蜱虫。被移除的蜱虫在Yüzüncü Yıl大学的寄生虫学实验室进行了检查。结果:纳入研究的425例患者中,72% (n=306)为女性,28% (n=119)为男性(平均年龄40±20岁,最小-最大:4个月-81岁)。一年内共清除了527只蜱虫。351名患者有成年或若虫蜱,74名患者有幼虫形式的蜱。成虫蜱和若虫蜱中以异物感为主要症状的占68.7% (n=242),而以疼痛为主要症状的占62% (n=46)。各组间比较,成年蜱虫组异物感明显高于成年蜱虫组,幼年蜱虫组疼痛感明显高于成年蜱虫组(p结论:耳内蜱是东安纳托利亚地区的一种地方病,构成公共卫生问题。通过采取各种预防措施和教育公众预防方法,可以尽量减少蜱虫的侵扰。我们的研究是文献中关于耳蜱病例的最大系列研究。
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