Vertigo, Emesis, Auditory Impairment: What's Your Diagnosis?
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by Kerri Miller
January 16, 2025
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2 min
6 Key Takeaways
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1
Acute labyrinthitis caused by intra-aural tick infestation
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2
Successful multimodal treatment approach resulting in symptom resolution within 4 weeks
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3
Potential complications of aural tick infestation include tinnitus, hearing loss, vertigo, and facial nerve palsy
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4
Importance of comprehensive patient care involving otolaryngologists, infectious disease specialists, and neurologists
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5
Discussion on the potential role of quantitative polymerase chain reaction (qPCR) testing for rickettsial infections
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6
Case treated at B.P. Koirala Institute of Health Sciences in Dharan, Nepal
A 21-year-old female patient with acute labyrinthitis caused by intra-aural tick infestation was successfully treated using a multimodal approach, resulting in symptom resolution within 4 weeks. The case report highlights the potential complications of aural tick infestation, including tinnitus, hearing loss, vertigo, and facial nerve palsy. Early intervention and comprehensive patient care involving otolaryngologists, infectious disease specialists, and neurologists are crucial in preventing long-term complications. The authors also discussed the potential role of quantitative polymerase chain reaction (qPCR) testing for rickettsial infections, particularly in cases presenting with facial nerve palsy. This case was treated at B.P. Koirala Institute of Health Sciences in Dharan, Nepal, and was detailed in the Journal of Medical Case Reports.
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