Large Tick (Ixodes) Infestation of the Upper Eyelid Presenting as Eyelid Mass and Preseptal Cellulitis
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S. Karger AG
Abstract
A child was referred for removal of an eyelid mass. She had preseptal cellulitis and a large tick deeply embedded in the tarsus of the upper eyelid necessitating antibiotic therapy and en-bloc excision of the tick with the attached eyelid portion. Large ticks that are embedded in the eyelid are best treated surgically with en-bloc excision of the tick and its attached lid. On the contrary, for small ticks involving the very superficial skin, fine-tipped tweezers can be used to grasp the insect. Ticks are vectors of several diseases like Lyme borreliosis, hence prophylactic antibiotic treatment and close observation are recommended. © 2019 The Author(s). Published by S. Karger AG, Basel.
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Eyelid mass, Preseptal cellulitis, Tick, Amoxicillin plus clavulanic acid, Antibiotic prophylaxis, Article, Case report, Child, Chronic inflammation, Clinical article, Excision, Eyelid disease, Female, Foreign body, Histiocyte, Human, Human tissue, Inflammatory infiltrate, Ixodes, Local anesthesia, Lyme disease, Lymphocyte, Neutrophil, Orbit inflammation, Plasma cell, Priority journal, Ptosis (eyelid), School child, Slit lamp microscopy, Tick infestation, Upper eyelid