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Aural myiasis in a healthy adult laborer from Nepal: a case report
Anupam Koirala1, Tek Nath Yogi2, Sujan Dhamel2
1Department of ENT and HNS, BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Sunsari, Nepal.
Introduction:
Aural myiasis, the infestation of the ear by fly larvae, is rare. It typically affects individuals with risk factors like poor hygiene, chronic ear conditions, or mental disabilities. This report highlights a case of a healthy adult and addresses its etiology, diagnosis, treatment, and prevention.
Case Presentation:
A 45-year-old male laborer presented with aural fullness and bleeding from the left ear. Endoscopic examination revealed two maggots within the middle ear cavity, along with a pars tensa perforation. Treatment included turpentine oil instillation, antibiotics, antipyretics, and ear drops. The patient's hearing improved post-treatment, underscoring the rarity of this condition in healthy individuals.
Discussion:
This case underlines the clinical significance of early detection in preventing severe complications, such as brain penetration, which can be fatal. While otomyiasis is uncommon in healthy individuals, it requires prompt intervention, including maggot removal and addressing underlying factors. The scarcity of reported cases may reflect underdiagnosis or mismanagement of common ear complaints.
Conclusion:
Aural myiasis is rarely seen in healthy adults but highlights the importance of early diagnosis and treatment to prevent complications. Preventive measures include improving hygiene and addressing predisposing factors such as chronic ear conditions, socioeconomic barriers, and environmental exposures. Early eradication of larvae is vital to avoid severe outcomes, emphasizing the need for awareness among clinicians and the general population individuals.
