Tick infestation masquerading as a nodule in the eye lid

Nirsara Shrestha, Sangeeta Shrestha, Arjun Shrestha, Barsha Suwal, Samata Sharma
2020 Nepalese Journal of Ophthalmology  
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
more » ... 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.
doi:10.3126/nepjoph.v12i1.27351 pmid:32799246 fatcat:lgzlf2fwgrei3itvwbvc24jksu