Large Tick (Ixodes) Infestation of the Upper Eyelid Presenting as Eyelid Mass and Preseptal Cellulitis (original) (raw)
Related papers
Eyelid Tick Manifestation in Subhimalayan Region – A Case Series of 3 Cases
Delhi Journal of Ophthalmology, 2019
Ticks are ectoparasites which live by hematophagy of mammals, birds and reptiles, and consequently act as vectors of various diseases. Tick infestation has gained attention in recent times due to Crimean-Congo hemorrhagic fever (CCHF), a potentially fatal tickborne disease. Ticks transmit zoonoses including Lyme disease, tularemia, Scrub typhus, etc. These also have been associated with localized lesions resembling erythema chronicum migrans, lymphoid hyperplasia, tick-related alopecia and foreign body granuloma. 1 To reduce the potential complications, complete removal of the organism is critical. We report a case series of 3 cases of tick infestations of the eyelids in a span of 3 weeks during the December and January months of winter season in a tertiary centre in northern India. Case 1 A 62 years old female presented to routine eye OPD with complaints of pain ,swelling and redness in her left upper eyelid from last 2 days. Visual acuity was 6/6 in both eyes. Ocular movements were full, cornea and rest of the ocular examination was unremarkable. On slit lamp examination there was presence of a live tick-like organism adherent on the upper and medial 1/3rd eyelash margin and intermarginal strip firmly attached to the adjacent eyelid skin (Figure 1 and 2). Also,there were numerous eggs lying adjacent to the attachment of tick. Few eggs were also present in the lower eyelid margin of left eye (Figure 3). Preauricular lymph nodes were enlarged on the side of the involvement. The tick was removed carefully using blunt toothless forceps and sent to the microbiology department. On microbiological examination, hard tick of species ixodes was identified. Patient was given oral doxycycline 100mg OD for 2 weeks for prophylaxis against lyme's disease and topical moxifloxacin 0.5% eye drops. Patient was kept on regular follow up and did not show any signs of tick transmitted diseases.
Conjunctival attachment of a tick: case report
Seminars in ophthalmology, 2014
To describe a case of conjuctival tick attachment and the method of removal with blunt forceps. Case report. A 36-year-old man presented with a complaint of foreign body sensation in his right eye. He was found to have a tick (Ixodes spp) embedded in his conjunctiva. The tick was removed completely mechanically with a blunt forceps. The patient was examined and followed for tick-transmitted diseases. The patient had no systemic signs and symptoms in follow-up. The ophthalmologist should maintain an index of suspicion that tick infestation of ocular tissues may present in urban locations. Careful examination, obtaining serology to check for zoonoses, and complete removal should be performed to ensure an uneventful recovery.
Tick infestation masquerading as a nodule in the eye lid
Nepalese Journal of Ophthalmology
Introduction: Ticks are ectoparasites which can lead to various blood borne diseases. Tick bite may resemble pigmented nevi, mole or nodule resulting a diagnostic dilemma. Tick bite in eye lid is rare and this case report describes tick bite in lower eye lid mimicking a traumatized pigmented nodule where the tick was identified only on magnification and was successfully removed mechanically. Case: A 61-year-old man presented to the eye out patient department with a sudden and painful black pigmented lesion on the right lower lid for four days. The tick was manually removed with forceps. Conclusion: This case report explains the need for a high index of suspicion as tick bite in sudden or recent onset pigmented lesions especially in endemic areas.
Tick Infestation: A 200-PATIENTS' Series
African journal of infectious diseases, 2017
A great number of zoonotic diseases with high mortality rate are transmitted by ticks. We performed this study in order to investigate patients admitted to emergency department following a tick bite. We examined the patients and get knowledge about the infestation and we followed up them for possible tick-conducted disease symptoms and laboratory findings both clinically and serologically. The study presented was hold for one year, between 01.01.2012 and 31.12.2012. 200 tick infested cases, admitted to Emergency Department of Haydarpasa Numune Training and Research Hospital, were subjected in the study. Demographic patterns of the patients and the region they come from, infested area on body, admission time and blood analyzing results were detected. Rate of adult patients to pediatric was 2:1; gender distribution was similar to each other. The most common body areas that ticks were removed from were lower extremity. The highest tick bite incidence was in summer and on weekends. No t...
Phthriasis palpebrarum can resemble tick larva infestation in an eyelid
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus, 2013
The similarities of the larval and nymph stages of the tick and louse (Pthirus pubis) may lead to misdiagnosis in rare cases of infestation of the eyelashes. The most frequent manifestations of tick in the eye are conjunctivitis, uveitis, keratitis, and vasculitis. Tick inoculation of the skin can locally lead to formation of granuloma and abscess. More concerning is the potential systemic sequelae that can result from transmission of zoonoses such as Lyme disease. P. pubis can cause pruritic eyelid margins or unusual blepharoconjunctivitis. We present a case of phthiriasis palpebrarum in a 4-year-old boy.
Isolated facial palsy due to intra-aural tick (ixodoidea) infestation
Archives of Orofacial Sciences, 2007
A tick in the ear is a very painful condition and removal is difficult because it grips firmly to the external auditory canal or tympanic membrane. Facial paralysis is a rarely reported localised neurological complication of an intra-aural tick infestation. The pathophysiology of localised paralysis is discussed, together with the safe way of handling patients with an intra-aural tick infestation.
Methods of Tick Removal: A Systematic Review of the Literature
Australasian Medical Journal, 2017
Background An increase in tick borne diseases in Australia has seen an interest in appropriate removal of ticks (order Ixodida) in order to prevent anaphylaxis, allergy and transmission of tick borne diseases. Aims A systematic review of peer-reviewed literature to determine what method of tick removal should be promoted in terms of preventing future health complications. Methods Thematic synthesis was used in two stages:-tick removal studies conducted on animals and humans were examined and the conclusions from all of these studies were compared, in order to ascertain the best tick removal method in relation to prevention of future medical problems (including tick bite allergy and transmission of infection). Conclusion This systematic review documents the best method of tick removal based on scientific and medical studies between 1985 and 2016. It concludes that the best method is to remove the tick as soon as possible after it is detected, using either fine-tipped tweezers or a reputable commercially produced tick removal tool to pull the tick away from the site of attachment. Some methods of removal, such as applying chemicals like petroleum jelly, alcohol, or nail polish to the tick, have been discredited. Other methods of removal, such as freezing, while promising, have not yet been scientifically validated.
Revisiting detachment techniques in human-biting ticks
Journal of the American Academy of Dermatology, 2016
Early and complete removal of ticks using the right technique is important to reduce tick-transmitted diseases. Several chemical and mechanical detachment techniques have been described previously. We aimed to compare the performance of 4 tick-detachment techniques that are widely used in human beings and to determine the optimal method from these techniques. A cross-sectional study was conducted on 160 patients between April and June 2010. Patients with reported tick bite were reviewed retrospectively and divided into the following 4 groups according to the tick-detachment technique used: card detachment, lassoing, freezing, and tweezers. Performance of each technique was evaluated according to the number of fully detached, nondetached, and crushed ticks and the duration of application. Of the 160 tick-bite cases assessed, we found the following efficacy rates: 82.5% (33/40), technique using tweezers; 47.5% (19/40), lassoing technique; 7.5% (3/40), card detachment; and 0% (0/40), f...
Acarologia, 2019
An 82-year-old female patient with painful, watery, and itchy eyes was admitted for examination at the Sri Guru Ramdas Institute of Medical Sciences and Research. During the examination, a number of tick larvae were found attached to the patient’s upper and lower eyelid margins. The ticks were manually removed and the patient was treated with topical ciprofloxacin eye ointment. Microscopic studies revealed that all specimens belonged to a single species Rhipicephalus (Boophilus) microplus Canestrini (Acari: Ixodidae) which parasitizes livestock. Although other cases of ocular infestations have been reported, this is the first in North India involving R. (B.) microplus. It is speculated that the patient’s occupation, surrounding conditions and living propensities made her susceptible to contamination by ticks.