Seven days later, the symptoms had resolved. The patient was treated with topical and systemic antibacterial agents to prevent secondary infection and was referred to the otolaryngology department for possible tympanoplasty. Treatment involves removal of the larvae and irrigation of the ear to expel any remaining organisms. Risk factors include chronic otitis media, diabetes mellitus, and impaired hygiene. Aural myiasis is an infestation of the middle or external ear by fly larvae of the order Diptera. Perforation of the tympanic membrane was identified on further examination of the left ear. An ear aspirator, forceps, and irrigation with sterile water were used to remove the larvae (Panel B ). On physical examination the attending physician s found numerous mobile larvae were found to be occluding the left external auditory canal (Panel A), a finding indicative of aural myiasis. ![]() Myiasis is rare infestation of live vertebrates with dipterous larvae more commonly encountered in patients with mental or physical disabilities It is a rare entity in the otolaryngology and there are only few cases reported in the literature, and most cases are seen in tropical and rural areas.In countries where it is not endemic, myiasis is an important condition, where it can represent the fourth most common travel-associated skin disease.Īccording to history, a 64-year-old man from a rural community presented to the emergency department with a 5-day history of pain, itching, and bleeding in the left ear. CDSCO (Central Drugs Standard Control Organisation) Newsĭr Catarina Rato and Dr Gustavo Lopes at Hospital Pedro Hispano, Matosinhos, Portugal have reported a rare case of Aural Myiasis that has been published in the New England journal of Medicine.
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