A case report of Polish cochineal larvae infestation of eyelid

The Polish cochineal (Porphyrophora polonica), a scale insect, has been integral to the textile and dye industries of Europe and Central Asia for centuries, prized for its ability to produce a vivid red dye. This insect, although commonly associated with its utility in historical dyeing practices, seldom crosses paths with the medical field. However, an unusual case report from Ak-dağmadeni, a region renowned for its dense oak and pine forests which create a conducive environment for ticks, highlights a rare intersection. In this case report, the Polish cochineal larva, which was mistakenly diagnosed as a tick, was removed from the eyelid of a 57-year-old female patient, and the allergic reaction it caused is presented. The case underscores this rare infestation with the significance of accurate diagnosis in the prevention of unnecessary medical interventions.