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Human otoacariasis.

R Indudharan1, M Ahamad, T M Ho

  • 1Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.

Annals of Tropical Medicine and Parasitology
|September 4, 1999
PubMed
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Arthropods, such as cockroaches and ticks, are common causes of ear foreign bodies (FB). A study found human otoacariasis, or ear tick infestation, is uniquely prevalent in Kelantan, Malaysia.

Area of Science:

  • Otolaryngology
  • Medical Entomology
  • Public Health

Background:

  • Aural foreign bodies (FB) are frequently encountered in emergency departments.
  • Arthropods represent a significant portion of these foreign bodies.
  • Human otoacariasis, specifically tick infestation of the ear canal, has a notable prevalence in certain regions.

Purpose of the Study:

  • To investigate the prevalence and characteristics of arthropod aural foreign bodies.
  • To identify the common types of arthropods found in the ear canal.
  • To describe the clinical presentation, management, and complications of human otoacariasis in Kelantan, Malaysia.

Main Methods:

  • Retrospective study of 348 cases of aural foreign bodies at Universiti Sains Malaysia Hospital.

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  • Data collection on the type of foreign body, patient demographics, and removal methods.
  • Analysis of arthropod types, with specific focus on ticks and their prevalence.

    • Main Results:

    • Arthropods were identified as the foreign body in 148 out of 348 (42.5%) investigated cases.
    • Cockroaches were the most frequently identified arthropod, followed by cattle ticks.
    • A high prevalence of tick infestation in the human ear canal (human otoacariasis) was observed, appearing unique to Kelantan.

    Conclusions:

    • Arthropods are a common cause of aural foreign bodies, necessitating specific diagnostic and management considerations.
    • Human otoacariasis presents a unique public health challenge in Kelantan, Malaysia.
    • Further research and public awareness are recommended for the prevention and management of ear canal arthropod infestations.