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)

DOI:

https://doi.org/10.3126/nepjoph.v12i1.27351

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

Shrestha, N., Shrestha, S., Shrestha, A., Suwal, B., & Sharma, S. (2020). Tick infestation masquerading as a nodule in the eye lid. Nepalese Journal of Ophthalmology, 12(1), 106–109. https://doi.org/10.3126/nepjoph.v12i1.27351

Issue

Section

Case Reports