From a tick in external auditory canal to pediatric Lyme disease

• Main Authors: A. Buonamico (Author), J. Silvestri (Author), M. Ciuffreda (Author), E. Pisello (Author), G. Castellana (Author), S. Sorrenti (Author), L. Brugiaferri (Author), C. Sacchetti (Author), F. Lacchè (Author), C. Chinigioli (Author), V. Biscaccianti (Author), A. Pennacchi (Author), C. Piangatelli (Author), D. Galante (Author)
• Format: Book
• Published: Pediatric Anesthesia and Critical Care Journal, 2023-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Lyme disease is an infectious disease caused by Borrelia Burgdorferi infection. It is a zoonosis transmitted by ticks and is common in Europe. Its clinical presentation in- cludes an early manifestation, which can cause local and systemic symptoms, and a late form. Erythema migrans, arthritis, facial palsy, meningitis and carditis are possible complications of the disease. We report a case of a 4-year child who presented with fever and upper and lower limbs maculopapular cutaneous rash. Left otoscopy showed the presence of a black, round-shaped foreign body attached to the postero-superior aspect of the exter- nal auditory canal (EAC), which was identified as a tick. Prompt removal of the tick was proposed. Considering the age of the patient, general anesthesia was indicated. After orotracheal intubation, the lesion was completely removed under microscopic vision. Subsequently, intra- venous antibiotic therapy was continued; the day after, the patient was transferred to a pediatric department where attentive monitoring and therapy were continued, with complete resolution of the symptoms.

Item Description

10.14587/paccj.2023.5
2281-8421