Tick Bites for the Otolaryngologist

Abstract

Objective: The human head and neck can provide multiple environments ideal for parasitic invasion. One of the more common parasites encountered is the tick. We report a specific case involving a tick bite involving the external auditory canal. There is a lack of evidence on the proper treatments.

Method: “Ticks,” “tick bites,” “head and neck,” and “otolaryngology” were searched in PubMed, and relevant articles were selected and reviewed.

Results: Ticks and tick-borne diseases are outlined, and common presentations of head and neck involvement are examined. Ticks appear to be resistant to common anesthetic chemicals used in the ear. Proper removal is important in preventing transmission of disease and local skin infection. Geography and tick species dictate treatment and follow-up. We recommend antibiotic prophylaxis for certain tick species making proper tick identification important.

Conclusion: The otolaryngologist must be aware of the many differing pathogens, their epidemiology, and their treatments. Proper removal and identification of the tick are very important in further follow-up and treatment. We present an invaluable but simplified tool in the identification, removal, and management of ticks and tick bites.