A Rare Case of Larval Tick Infestation at the Conjunctiva
Keywords:
Amblyomma americanum, conjunctiva, lone star, parasite, tickAbstract
This is a case report of a middle-aged man without underlying disease presented with acute pain in his left eye. Ocular examination showed an insect-like foreign body attached on his left lower palpebral conjunctiva. The foreign body was removed gently by non-toothed forceps and a cotton tip applicator. It was further identified as the larval form of Amblyomma americanum tick. A topical combination steroid-antibiotic medication was prescribed. It was further identified as the larval form of Amblyomma americanum tick. In summary, a thorough eye examination is necessary for the early recognition of this rare condition.
References
Jensen LA, Snow RL, Clifford CM. Spinose ear tick, Otobius megnini, attached to the conjunctiva of a child's eye. J Parasitol. 1982;68(4):528.
Bodé D, Speicher P, Harlan H. A seed tick infestation of the conjunctiva: Amblyomma americanum larva. Ann Ophthalmol. 1987;19(2):63-64.
Meades KV, Lam G. Larva tick bite of the conjunctiva. Aust N Z J Ophthalmol. 1991;19(4):365-366. doi:10.1111/j.1442-9071.1991.tb00687.x
Love MC, Platt L, Westfall CT. Lone-star tick bite of the conjunctiva. Arch Ophthalmol. 2001;119(12):1854-1855.
Willen C, Mullen GR, Yee J, et al. Conjunctival attachment of a tick: clinicopathologic report of a case. J Emerg Med. 2011;40(3):e41-e44. doi:10.1016/j.jemermed.2007.11.
Celik E, Türkoğlu EB, Boz AA, et al. Conjunctival attachment of a tick: case report. Semin Ophthalmol. 2014;29(4):186-188. doi:10.3109/08820538.2013.807847
Teong JM, Adler PA, Doggett SL, et al. Conjunctival Attachment of a Live Paralysis Tick, Ixodes holocyclus, in a Child: A Case Report. Case Rep Ophthalmol. 2015;6(1):120-126. Published 2015 Apr 1. doi:10.1159/000381743
Kuriakose RK, Grant LW, Chin EK, et al. Deer tick masquerading as pigmented conjunctival lesion. Am J Ophthalmol Case Rep. 2016;5:97-98. Published 2016 Dec 30. doi:10.1016/j.ajoc.2016.12.018
Childs JE, Paddock CD. The ascendancy of Amblyomma americanum as a vector of pathogens affecting humans in the United States. Annu Rev Entomol. 2003;48:307-337. doi:10.1146/annurev.ento.48.091801.112728
Stafford III KC. Tick Management Handbook. Connecticut; EPS Printing II; 2007: 1-34.
Wormser GP, Masters E, Liveris D, et al. Microbiologic evaluation of patients from Missouri with erythema migrans. Clin Infect Dis. 2005;40(3):423-428. doi:10.1086/427289
Wormser GP, Masters E, Nowakowski J, et al. Prospective clinical evaluation of patients from Missouri and New York with erythema migrans-like skin lesions. Clin Infect Dis. 2005;41(7):958-965. doi:10.1086/432935
Parola P, Davoust B, Raoult D. Tick- and flea-borne rickettsial emerging zoonoses. Vet Res. 2005;36(3):469-492. doi:10.1051/vetres:2005004
Eamudomkarn C. Tick-borne pathogens and their zoonotic potential for human infection in Thailand. Chiang Mai V J. 2017:127-36.
Sumrandee C, Baimai V, Trinachartvanit W, Ahantarig A. Molecular detection of Rickettsia, Anaplasma, Coxiella and Francisella bacteria in ticks collected from Artiodactyla in Thailand. Ticks Tick Borne Dis. 2016;7(5):678-689. doi:10.1016/j.ttbdis.2016.02.015
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