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A case of Haemaphysalis longicornis Neumann misdiagnosed as hemorrhagic mass in the external auditory canal
J Korean Skull Base Soc 2021;16(2):100-103
Published online September 30, 2021
© 2021 Korean Skull Base Society.

Sohee Park, Minchae Jeon, Kyungil Jang, Beom Cho Jun

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Beom Cho Jun
주소 : Department of Otolaryngology-Head and Neck Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu 11765, Korea
Tel : +82-31-820-3657
Fax : +82-31-847-0038
E-mail : otojun@catholic.ac.kr
Received August 21, 2021; Accepted September 10, 2021.
Abstract
Foreign bodies in external auditory canal (EAC) are one of the most common problem encountered in the emergency or outpatient department by otorhinolaryngologist. Patients present to the clinic with different type foreign bodies, ranging from small beads to living insects. They could lead to various complications, such as abrasion of EAC, otitis externa and tympanic membrane perforation. Therefore, it is important to identify and remove the foreign body while minimizing the damage of the surrounding structure. Here we present a case of foreign body found in EAC, initially misdiagnosed as hemorrhagic mass, which was later identified as Haemaphysalis longicornis Neumann, known as Asian long horned tick during the operation process. Reporting this case, we want to discuss about the importance of identifying the type of foreign bodies and about the tick-borne disease we have to consider when encounter the insects in EAC.
Keywords : Foreign bodies, Ear canal, Haemaphysalis longicornis Neumann, Tick


September 2021, 16 (2)
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