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Otomyiasis caused by Musca domestica in a child: A case report
Makram Tbini1, Habib Jaafoura1, Marwen Ghabi1
1ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
Introduction:
Myiasis is the infestation of humans and vertebrate animals with dipterous larvae. It is a rare clinical condition, mainly observed in vulnerable people living in tropical and subtropical regions.
Case Presentation:
We reported a 2-year-old boy, with history of anemia and psoriasis who was admitted to our department after discovering larvea coming out from the left ear 6 weeks ago. Ear examination revealed a few maggots in the left concha and external auditory canal. A larvea was removed and identified as Musca domestica. Management of this otomyiasis was based on manual maggot removal and regular auditory toilets with povidone iodine.
Discussion:
Although rarely reported, clinicians should still suspect aural myiasis in the event of an unexplained otalgia in children, mainly if they are from rural area with poor hygienic conditions.
Conclusion:
Otomyiasis is mainly reported in tropical rural location in debilitated individuals with low socioeconomic conditions and poor hygiene. Thus prophylactic measures are the most effective means to reduce its incidence.
