Şiddetli kulak ağrısının nadir bir nedeni: dış kulak yolunda kene

Dış kulak yolunda kene nadir görülmesine rağmen kulakta ağrı,tinnitus gibi durumlara yol açabilir. Ayrıca kırım Kongo kanamalı ateşi gibi hastalıkları oluşturması açısından önemlidir. Bu raporda biz 60 yaşında sol kulakta ağrı şikayetiyle acil servise başvurmuş ve dış kulak yolunda kene bulunan hastanın tedavisini literatür eşliğinde sunduk. Kenenin dış kulak yolundan alligatör forcepsle dikkatli biçimde çıkarılması keneye bağlı oluşabilecek bir çok hastalığın oluşmasının engellenmesi açısından önemlidir.

A rare cause of severe earache: a tick in the external auditory canal

Although tick is rarely seen in the external auditory canal, it may cause pain and tinnitus in the ear. In addition, it is also important in terms of causing Crimean-Congo hemorrhagic fever disease. In this report, we presented the treatment of a 60-year-old patient who was admitted to the Emergency Service with pain in the left ear and who had a tick in the external auditory canal together with literature data. Removing he tick from the external ear canal with the alligator forceps in a careful manner is important in terms of preventing many diseases that might occur due to the tick. 

___

  • 1. Patil MM, Walikar BN, Kalyanshettar SS, Patil SV. Tick induced facial palsy. Indian Pediatr 2012; 49: 57-8.
  • 2. Al-Juboori AN. Aural foreign bodies: descriptive study of 224 patients in Al-fallujah general hospital, Iraq. Int J Otolaryngol 2013;2013:401289 doi: 10.1155/2013/401289
  • 3. Gökdogan O, Çakabay T, Baran H, Karabulut B, Tasdemir C, Vatansever Z. Otoacariasis: demographic and clinical outcomes of patients with ticks in the ear canal. Braz J Otorhinolaryngol. 2016;82:416-21
  • 4. Dworkin MS, Shoemaker PC, Anderson DE. Tick Paralysis: 33 Human Cases in Washington State, 1946–1996. Clin Infect Dis 1999; 29: 1435-9
  • 5. Leblebicioglu H, Ozaras R, Irmak H, Sencan I. Crimean-Congo hemorrhagic fever in Turkey: Current status and future challenges. Antiviral Res 2016;126:21–34.
  • 6. Singh GB, Sidhu TS, Sharma A, Dhawan R, Jha SK, Singh N. Management of aural foreign body: an evaluative study in 738 consecutive cases. Am J Otolaryngol. 2007;28:87–90
  • 7. Somayaji KSG, Rajeshwari A, Human otoacariasis. Indian J Otolaryngol Head Neck Surg. 2007;59:237–9.
  • 8. De Boer R, van den Bogaard AE. Removal of attached nymphs and adults of Ixodes ricinus (Acari: Ixodidae). J Med Entomol 1993;30:748-52
  • 9. Iwasaki S, Takebayashi S, Watanabe T. Tick bites in the external auditory canal. Auris Nasus Larynx 2007;34: 375-7
  • 10. 10.Gammons M, Salam G. Tick removal. Am Fam Physician 2002; 66: 643–45.