EAC的一个讨厌的客人-一个罕见的人类耳螨病病例报告

Chenchulakshmi Vasudevan, B. Belaldavar, P. Apoorva
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摘要

奥塔吉亚有一系列的原因,其中之一是东欧共同体有异物。昆虫并不罕见,但由于携带的感染会影响病人的局部和全身,因此构成威胁。女,42岁,急性起病耳痛,耳内窥镜检查发现后上管壁有异物,取出后镜检诊断为耳硬膜瘤,并予治疗。在热带和发展中国家,如印度,耳科医生必须意识到并警惕由节肢动物媒介感染的EAC。农民更容易感染这种人畜共患疾病。蜱虫吃血并孵化卵,引起局部刺激、穿孔和血源性感染传播。蜱虫感染虽然罕见,但由于蜱传播感染的风险,它具有严重的并发症。管理必须是整体的,包括耳科的角度和系统的治疗。
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A nasty guest of EAC - A rare case report of human otoacariasis
Otalgia has a spectrum of causes and one among them is a foreign body in the EAC. Insects are not uncommon, but pose a threat by virtue of carrying infections that affect the patient locally as well as systemically.A 42-year female patient presented with acute onset otalgia, examination by otoendoscopy showed a foreign body over the posterior superior canal wall and it was removed, further microscopy then diagnosed it as Ambylomma Testudinarium and patient was treated accordingly.In tropical and developing countries such as India otologists must be aware and watchful of EAC infestations by arthropod vectors. Farmers are more prone to this zoonotic infection. Ticks consume a blood meal and hatch eggs, causing local irritation, perforations and hematogenic spread of infection.Tick infestations though rare are perilous due to the risk of tick-borne infections, which have grave complications. The management must be holistic including the otological perspective with systemic treatment.
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