Moreira Jorge, Maio Tiago, Sampaio Filipa
Serviço de Oftalmologia. Hospital Pedro Hispano. Matosinhos. Portugal.
Acta Med Port. 2018 Feb 28;31(2):126-128. doi: 10.20344/amp.9442.
Tick infestation is rarely seen in ophthalmological practice. We report the case of a 73-year-old woman who presented with edema and erythema of her right upper eyelid. Biomicroscopic examination revealed a tick firmly attached to the eyelid margin. The tick was successfully removed using fine tweezers, and within a few days, the patient had fully recovered without sequelae. Ticks are a threat to public health as they are known vectors of numerous infectious agents responsible for serious pathologies such as Lyme disease. Ticks may also induce cutaneous local reactions, and more rarely, tick paralysis. Since morbidity increases substantially with the duration of the infestation, the tick should be completely removed as soon as possible, and patients should be aware about possible signs of tick related diseases.
蜱虫感染在眼科临床实践中很少见。我们报告一例73岁女性病例,该患者右上眼睑出现水肿和红斑。生物显微镜检查发现一只蜱虫紧紧附着在眼睑边缘。使用精细镊子成功移除了蜱虫,几天后,患者完全康复,未留下后遗症。蜱虫是公共卫生的一大威胁,因为它们是多种传染病原体的已知传播媒介,可导致莱姆病等严重疾病。蜱虫还可能引起皮肤局部反应,更罕见的是蜱虫麻痹。由于随着感染持续时间的延长发病率会大幅增加,应尽快彻底清除蜱虫,患者也应了解蜱虫相关疾病的可能症状。