Concerned About Cat-Transmitted Parasites? Which Specialist to Consult? - Family Medicine

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If you suspect that you have contracted a parasitic infection from a cat, you should see a specialist in infectious diseases or a veterinarian if you are seeking advice for your pet. For human health concerns, a visit to a primary care physician or an infectious disease specialist would be appropriate?


Hello doctor, I have been experiencing frequent itching in my ears lately, feeling as if there are hair-like (or spider silk-like) substances inside.
I have tried to pull them out with my fingers, but I can't feel anything.
However, it feels like there are filamentous objects brushing against the inside of my ear.
I recalled that during a recent sleepover at a friend's house, I was awakened in the middle of the night by her cat licking deep into my ear.
I am concerned about a potential zoonotic parasitic infection.
I have already seen an otolaryngologist, but the doctor was unable to determine whether it is an allergy or a parasitic infection.
Recently, the sensation of these filamentous objects seems to have spread to the area near my throat.
I would like to ask which specialist I should consult next.
Would seeing a veterinarian be helpful?

qq, 20~29 year old female. Ask Date: 2012/12/25

Dr. Chen Bozhang reply Family Medicine


Dear user,
You mentioned that you have been experiencing a sensation of foreign body itchiness in your ears recently.
An otolaryngologist will typically check for any signs of foreign bodies or infections in the ear canal during an examination.
Since you have already consulted an otolaryngologist and the physician was unable to make a diagnosis, I wonder if you inquired in detail about the possible underlying causes? Alternatively, it may be advisable to seek a referral to another specialist.
Generally, it is best to continue consulting with an otolaryngologist for diagnosis and treatment, as veterinarians primarily focus on animal diseases.
Sincerely,
Dr.
Chen Po-Chang
Department of Family Medicine, Keelung Hospital

Reply Date: 2012/12/25

More Info


If you are experiencing unusual sensations in your ear, particularly after an incident involving a cat, it is understandable to be concerned about potential parasitic infections or other health issues. Given your symptoms and the context of your situation, it is advisable to consult with a specialist who can provide a thorough evaluation and appropriate treatment.

Initially, you mentioned that you have already seen an otolaryngologist (ear, nose, and throat specialist) who was unable to determine whether your symptoms were due to allergies or a parasitic infection. Since you are experiencing a sensation of something like hair or threads in your ear, and this feeling has progressed to your throat area, it may be beneficial to seek further medical advice.

1. Consult a General Practitioner (GP): Your first step should be to visit a general practitioner. They can conduct a comprehensive assessment of your symptoms, review your medical history, and perform a physical examination. They may also order tests, such as imaging studies or allergy tests, to rule out other conditions.

2. Infectious Disease Specialist: If your GP suspects a parasitic infection, they may refer you to an infectious disease specialist. These specialists are trained to diagnose and treat infections caused by parasites, bacteria, and viruses. They can provide specific tests to identify any potential parasites that may have been transmitted from the cat.

3. Allergist/Immunologist: If your symptoms are determined to be allergy-related, an allergist or immunologist can help identify specific allergens and recommend appropriate treatments, such as antihistamines or allergy shots.

4. Veterinary Consultation: While it may seem unconventional, consulting a veterinarian could also provide valuable insights. They can inform you about common parasites that affect cats and whether any of these could potentially be transmitted to humans. They may also advise on preventive measures to avoid future exposure.

5. Ear Specialist Follow-Up: If your symptoms persist, returning to the otolaryngologist for a follow-up visit may be necessary. They can perform more specialized tests, such as an endoscopy, to visualize the ear canal and throat more clearly. This can help determine if there are any obstructions or infections that need to be addressed.

In summary, your best course of action is to start with a general practitioner who can guide you through the process of diagnosis and treatment. If necessary, they will refer you to the appropriate specialists based on their findings. It is essential to address your symptoms promptly to avoid any potential complications. Additionally, keeping track of your symptoms, including when they occur and any other related factors, can be helpful for your healthcare providers in making an accurate diagnosis.

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