Abstract
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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