Ear Mite
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Ear mites are
mite Mites are small arachnids (eight-legged arthropods) of two large orders, the Acariformes and the Parasitiformes, which were historically grouped together in the subclass Acari. However, most recent genetic analyses do not recover the two as eac ...
s that live in the ears of animals. The most commonly seen
species A species () is often defined as the largest group of organisms in which any two individuals of the appropriate sexes or mating types can produce fertile offspring, typically by sexual reproduction. It is the basic unit of Taxonomy (biology), ...
in veterinary medicine is '' Otodectes cynotis'' (Gk. ''oto''=ear, ''dectes''=biter, ''cynotis''=of the dog). This species, despite its name, is also responsible for 90% of ear mite infections in felines. In veterinary practice, ear mite infections in dogs and cats may present as a disease that causes intense itching in one or both ears, which in turn triggers scratching at the affected ear. An unusually dark colored ear wax (
cerumen Earwax, also known by the medical term cerumen, is a waxy substance secreted in the ear canal of humans and other mammals. Earwax can be many colors, including brown, orange, red, yellowish, and gray. Earwax protects the skin of the human ear c ...
) may also be produced. Cats, as well as dogs with erect ears that have control over ear direction, may be seen with one or both ear pinnas held at an odd or flattened angle. The most common lesion associated with ear mites is an open or crusted ("scabbed") skin wound at the back or base of the ear, caused by abrasion of the skin by hind limb claws, as the ear has been scratched in an attempt to relieve the itching. This lesion often becomes secondarily infected and crusted from ordinary skin bacteria, so that the common presentation of ear mites is such a wound appearing on the back or base of one or both ears. This is accompanied by the pinnal-pedal reflex that appears as reflex scratching motions of the hind limb when the ear is manipulated (this test is positive as well in other mite infections of the outside and rim of the ear pinnas in
mange Mange () is a type of skin disease caused by parasitic mites. Because various species of mites also infect plants, birds and reptiles, the term "mange", or colloquially "the mange", suggesting poor condition of the skin and fur due to the infecti ...
). When the ear mite infection is treated, such wounds resolve spontaneously, and this resolution may be speeded with application of topical antibiotics. The most common ear mite (as well as mange mite) treatments currently use the antiparasitics
ivermectin Ivermectin is an antiparasitic drug. After its discovery in 1975, its first uses were in veterinary medicine to prevent and treat heartworm and acariasis. Approved for human use in 1987, it is used to treat infestations including head lice ...
and selamectin, usually as topical preparations. Ivermectin is available as a direct water-based liquid that is squeezed into the ear canal and massaged at the base of the ear to distribute the medication. Selamectin is available as a once-a-month preparation that can be applied to the animal's skin, which prevents mite infestation over that time.


Contagion

Ear mites spread rapidly, and can be transmitted from even brief physical contact with other animals. In pets, ear mites most commonly affect cats,
ferret The ferret (''Mustela furo'') is a small, domesticated species belonging to the family Mustelidae. The ferret is most likely a domesticated form of the wild European polecat (''Mustela putorius''), as evidenced by the ferret's ability to inter ...
s, and to a lesser extent dogs. In rare cases, they may also infect humans. Infected animals have a large amount of crumbly dark brown material in their ears. On close inspection, tiny white mites can barely be seen in the debris, as they are nearly microscopic. Ear mites do not burrow as some mites do, but live within the
ear canal The ear canal (external acoustic meatus, external auditory meatus, EAM) is a pathway running from the outer ear to the middle ear. The adult human ear canal extends from the auricle to the eardrum and is about in length and in diameter. S ...
.


Life cycle

The life cycle of an individual mite is about four weeks, with eggs hatching on the third or fourth day after laying. Female mites are able to reproduce after about three weeks.


Consequences of infection

The ear mite is the most common cause of ear infections in cats, quickly spreading from one cat to another through direct contact. Ear mites cause inflammatory symptoms, similar to
bacteria Bacteria (; : bacterium) are ubiquitous, mostly free-living organisms often consisting of one Cell (biology), biological cell. They constitute a large domain (biology), domain of Prokaryote, prokaryotic microorganisms. Typically a few micr ...
l and yeast infections. Symptoms include itching and redness of the ears. Other, more serious problems can result from untreated infections, such as
skin disease A skin condition, also known as cutaneous condition, is any medical condition that affects the integumentary system—the organ system that encloses the body and includes skin, Nail (anatomy), nails, and related muscle and glands. The major funct ...
in areas other than the ear like the neck and tail, and
deafness Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is writte ...
.


Ear mites in rabbits

The rabbit ear mite, '' Psoroptes cuniculi'', is larger than ''Otodectes cynotis''. It causes thick firm debris to form in the ear canal, and can eventually migrate to the skin of the outer ear and face. Symptoms include scratching and shaking of the head. Treatment includes topical selamectin, or injections of
ivermectin Ivermectin is an antiparasitic drug. After its discovery in 1975, its first uses were in veterinary medicine to prevent and treat heartworm and acariasis. Approved for human use in 1987, it is used to treat infestations including head lice ...
and frequent cleanings of the rabbit's environment.


Treatment

Ear mites of dogs and cats can be treated with any of the spot-on preparations available from veterinary surgeons as well as over the counter at many pet stores and online. If the chosen solution does not destroy mite eggs, treatment should be repeated after one month, to catch the next generation of mites that will have hatched by then. Relief, in terms of the cat or dog no longer scratching at its ears, will be noticeable within a few hours. However, since mite irritation is partly allergic (see
scabies Scabies (; also sometimes known as the seven-year itch) is a contagious human skin infestation by the tiny (0.2–0.45 mm) mite ''Sarcoptes scabiei'', variety ''hominis''. The word is from . The most common symptoms are severe itchiness a ...
), symptoms may also outlive mites by weeks. Moreover, it may take topical antibiotics and several weeks to clear infected external wounds caused by scratching on the exterior surfaces of cat and dog ears. Options for treating ear mites in rabbits are the related antiparasitics ivermectin and selamectin. Both of these antiparasitics have also been used with good effect in cats and dogs. A topical preparation of 0.01% ivermectin ( Acarexx) can be used directly as an oil in cat ears, and the related new generation drug selamectin (brand name "Revolution") is available as a once-per-month skin treatment for both dogs and cats, which will prevent new mite infestation as well as a number of other parasitic diseases. As with ivermectin, selamectin must be used with caution in collies and herder breeds with the possibility for homozygous MDR1 mutations. A single treatment with a topical formulation containing
fipronil Fipronil is a broad-spectrum insecticide that belongs to the phenylpyrazole insecticide class. Fipronil disrupts the insect central nervous system by blocking the ligand-gated ion channel of the GABAA receptor ( IRAC group 2B) and glutamate-g ...
, (S)-methoprene, eprinomectin and
praziquantel Praziquantel, sold under the brandname Biltricide among others, is a medication used to treat a number of types of parasitic worm infections in mammals, birds, amphibians, reptiles, and fish. In humans specifically, it is used to treat schist ...
was shown to be efficient for the prevention of ''Otodectes cynotis'' infestation in cats. Methoprene is able to prevent eggs from hatching and stop mites from maturing; the rest are all parasite-killing drugs.Beugnet, F., Bouhsira, É., Halos, L. & Franc, M. 2014: Preventive efficacy of a topical combination of fipronil (S)-methoprene - eprinomectin - praziquantel against ear mite (''Otodectes cynotis'') infestation of cats through a natural infestation model. Parasite, 21, 40.


References

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External links


''Ear Mites FAQ'' from The Pet Health Library
Parasitic acari Veterinary entomology Arthropod common names