Unusual Presentation of Otoacariasis: A Prospective Study at Referral Teaching Hospital

Sreenivas Kamath Kasaragod, K. Kshithi, Navya Parvathareddy, Sushmita Sriperumbudur, S. Vijendra Shenoy

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Otoacariasis is the presence of ticks and mites within the ear canal. Though the coexistence of ticks and humans is known for thousands of years, tick infestation is relatively rare in urban population. The most common presenting symptoms are usually itching, otalgia and a foreign body sensation and less frequent ones are tinnitus and otorrhoea. We report cases of otoacariasis with unusual presentation. A total of 43 cases presented to the ENT clinic in our hospital over a period of three years from 2018 to 2021. We present patients who presented with unusual symptoms of conductive hearing loss, ear bleed, and facial palsy. Total of 6 cases of otoacariasis had unusual presentation. 2 cases presented with lower motor neuron palsy, 1 case with ear bleed, and 3 cases with hearing loss. Otocariasis can present with unusual symptoms of hearing loss, ear bleed or facial palsy and this should be included in the differential diagnosis of a patient with history of close proximity to domestic or wild animals. Detailed examination often reveals the presence of the tick and identification and complete removal along with appropriate medication for associated symptoms often results in complete recovery.

Original languageEnglish
Pages (from-to)4345-4349
Number of pages5
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
Publication statusPublished - 12-2022

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology


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