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CASE REPORT
Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 112-114

Tick-induced vestibular ototoxicity and facial nerve paralysis successfully treated with intratympanic steroid injections


Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan, Malaysia

Correspondence Address:
Dr. Senthilraj Retinasekharan
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_95_20

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Tick infestation causing facial nerve palsy has been reported especially in Southeast Asian (this) region of the world. However, there has not been a report of tick infestation causing vestibular ototoxicity. A detailed otology history and careful otoscopic examination is paramount when an abnormal presentation is seen. Timely and appropriate treatment will mitigate long-term sequelae of toxicity. We report a case of a patient presenting with dizziness, reduced hearing, and unilateral facial paralysis secondary to tick infestation. We outline the successful management of this condition.


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