Tick infestation masquerading as a nodule in the eye lid

Authors

  • Nirsara Shrestha Hospital for Children, Eye, ENT and Rehabilitation Services (CHEERS)
  • Sangeeta Shrestha Hospital for Children, Eye, ENT and Rehabilitation Services (CHEERS)
  • Arjun Shrestha Hospital for Children, Eye, ENT and Rehabilitation Services (CHEERS)
  • Barsha Suwal Hospital for Children, Eye, ENT and Rehabilitation Services (CHEERS)
  • Samata Sharma Hospital for Children, Eye, ENT and Rehabilitation Services (CHEERS)

Keywords:

Nodule, Tick bite, Eye lid.

Abstract

Introduction: Ticks are ectoparasites which can lead to various blood borne diseases. Tick bite may resemble pigmented nevi, mole or nodule resulting a diagnostic dilemma. Tick bite in eye lid is rare and this case report describes tick bite in lower eye lid mimicking a traumatized pigmented nodule where the tick was identified only on magnification and was successfully removed mechanically.

Case: A 61-year-old man presented to the eye out patient department with a sudden and painful black pigmented lesion on the right lower lid for four days. The tick was manually removed with forceps.

Conclusion: This case report explains the need for a high index of suspicion as tick bite in sudden or recent onset pigmented lesions especially in endemic areas.

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Published

2020-07-26

How to Cite

Tick infestation masquerading as a nodule in the eye lid. (2020). Nepalese Journal of Ophthalmology, 12(1), 106-109. https://doi.org/10.3126/nepjoph.v12i1.27351

Issue

Vol. 12 No. 1 (2020)

Section

Case Reports

License

This license enables reusers to copy and distribute the material in any medium or format in unadapted form only, for noncommercial purposes only, and only so long as attribution is given to the creator.

How to Cite

Tick infestation masquerading as a nodule in the eye lid. (2020). Nepalese Journal of Ophthalmology, 12(1), 106-109. https://doi.org/10.3126/nepjoph.v12i1.27351