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Table 2 Details of five patients who presented in 2015/16 and underwent investigations to find out aetio-pathology, treatment given and response to treatment

From: Intra-aural tick bite causing unilateral facial nerve palsy in 29 cases over 16 years in Kandy, Sri Lanka: is rickettsial aetiology possible?

Description Patient number
1 2 3 4 5
Month/ year of admission 3/15 4/15 5/15 6/15 11/16
Age –years 51 35 62 33 46
Gender/physical state Female Female Female Pregnant Female
Affected ear and palsy Left Left Left Right Left
Time for onset of pain to facial palsy-days 3 6 11 2 5
Time gap between removal of tick to onset of palsy in days (pre or post) 2-post 1 -pre 7-post 1-pre 0
Neuropraxia of facial nerve Present Present Present Present Present
Treatment Doxycycline Doxycycline Doxycycline Azithromycin Doxycycline
Time for full recovery in weeks 4 3 4 3 4
IFA – IgG tire for R. conori – acute sera negative negative 1/128 1/32 1/512
IFA – IgG tire for R. conori – convalescent sera 1/1024 1/1024 1/1024 1/1024 1/1024
Identification of tick Amblioma Dermocentrer Hyaloma Rhipicephalus
Tick for PCR-rickettsial DNA    Negative Negative positive