Indudharan R, Ahamad M, Ho T M, Salim R, Htun Y N
Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Ann Trop Med Parasitol. 1999 Mar;93(2):163-7. doi: 10.1080/00034989958645.
Accidental entry of insects and other arthropods is a common aetiology of aural foreign bodies (FB) presenting to accident and emergency departments. A retrospective study revealed that the FB in almost half (148) of 348 cases of aural FB investigated at the Universiti Sains Malaysia Hospital was an arthropod. The most common arthropod encountered was the cockroach, followed by a cattle tick. The high prevalence of tick infestation of the human ear canal (i.e. human otoacariasis) currently appears to be unique to the Malaysian state of Kelantan. The presentation of patients with intra-aural ticks, the methods used to remove the ticks, the complications encountered, and recommendations for an appropriate course of action in such cases are discussed.
昆虫和其他节肢动物意外进入是急症室就诊的耳内异物（FB）的常见病因。一项回顾性研究显示，在马来西亚理科大学医院调查的348例耳内异物病例中，近一半（148例）的异物是节肢动物。最常见的节肢动物是蟑螂，其次是牛蜱。目前，人类耳道蜱虫感染（即人类耳螨病）的高发病率似乎是马来西亚吉兰丹州独有的现象。本文讨论了耳内有蜱虫患者的临床表现、去除蜱虫的方法、遇到的并发症以及此类病例适当处理措施的建议。
