Isolated facial nerve palsy from intra-aural tick infestation – a case report
Thilaga Rajendran, Jeyasakthy Saniasiaya, Yatiee Swany Lahuri, Norhaslinda Binti Abdul Gani
Affiliation and address for correspondence
Pediatr Med Rodz 2020, 16 (4), p. 430–432
DOI:
10.15557/PiMR.2020.0078
Abstract
The incidence of tick infestation reported by ear-nose-throat outpatient clinics is high, though the exact reason is unknown. Affected patients generally recover well without any local or systemic sequelae. Tick-induced facial nerve palsy is less commonly reported in the literature. In this case report, we present our experience in managing a case of delayed isolated facial nerve palsy from intra-aural tick infestation in a child. The case highlights the possibility of late effects of tick paralysis occurring hours after tick removal. Close observation and awareness are crucial to detect any signs of neurotoxicity associated with tick infestation.
Keywords
facial nerve palsy, tick bite, intra-aural tick, ear
