Doctors in Connecticut found a label attached to a right-ear drum of a nine-year-old boy after complaining of buzzing sounds.
The boy played outside at a school in Connecticut, when he was likely to have come into contact with a crash, which was later identified as an American dog dog (varermacentor Dermacentor). It was on the boy's straight eardrums, or on the crust of the timpans, but he did not suffer from pain, tinnitus, or hearing loss, the doctors said.
After a preliminary attempt to remove the archaide in the office with an operative microscope, the boy was transferred to an operating room.
"The incident was once again connected to the Timpian membrane," the doctors wrote in a May 1 report to the New England Journal of Medicine. The head was buried under the protective outer layer of the eardrums, they added. The patient recovered and showed no signs of the disease, the doctors said.
"A month later, the patient did well," they wrote. "He did not have fever or rashes, and the tympanic membrane did well."
The risk of getting Lyme disease is greater if the teak is infected with bacteria Borrelia burgdorferi and buries its head under a person's skin for more than a day. The disease is named after the Lyme coastline in Connecticut, the state where the 9-year-old boy lives. Various symptoms can occur within a few days to a month, but usually within a week or two, and can include fever, chills, headaches, joint and muscle pain, joint swelling, fatigue and facial paralysis. The signature sign that Lyme disease may be present is the "bullseye rash," officially named Erythema migrans, which appears on 70 to 80 percent of people with Lyme disease at the site of a bite about three to seven days later.
A nine-year-old boy reported wheezing and the sensation of a foreign body in his right ear. https://t.co/srnvTt9fR8
– NEJM (@NEJM) May 6, 2019
As the weather warms up around North America, teak tracking has increased. In Ontario on Thursday, Toronto Public Health held a press conference on plans to identify ticks with Lyme disease. The city had nearly 80 cases of a happy and unlikely Lyme disease in 2017, and close to 40 last year, the agency said. But cases of Lyme disease have been growing nationally for years, from just 144 in 2009, to more than 2,000 in 2017, according to government figures.
Ticks can be difficult to detect because they vary from the size of a poppy seed to a peas, said Christine Navarro, Toronto Public Health Associate to the Medical Officer of Health, at the press conference. If found in teak, experts recommend that tweezers is the best tool: grab your head with a close to the skin and slowly pull it straight without twisting or crushing the clip.
Navarro outlined a series of precautions people can take if they expect to be outdoors in thick wooded areas, where ticks are most often found.
Use an insect repellent containing DEET or picaridin
Wear long pants and long sleeves
Wear light colored clothing to easily identify more ticks
Is a complete examination of the head to the top of the toe once returned home
Shower once to help remove ticks before they stick
Tics are mostly found in wooded areas, thick with tall grass and leaves on the ground. Properties should be regularly maintained by mowing lawns frequently, and removing leaves falling, brush and weeds from the edge of the lawn.