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. 2022 May:94:107108.
doi: 10.1016/j.ijscr.2022.107108. Epub 2022 Apr 20.

Otomyiasis caused by Musca domestica in a child: A case report

Makram Tbini  1 , Habib Jaafoura  2 , Marwen Ghabi  2 , Ezer Chebil  2 , Mamia Bensalah  2
Affiliations

Otomyiasis caused by Musca domestica in a child: A case report

Makram Tbini et al. Int J Surg Case Rep. 2022 May.

Abstract

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.

Keywords: Children; Ear; Musca domestica; Myiasis.

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Conflict of interest statement

The authors report no declarations of interest.

Figures

Fig. 1
Fig. 1
Pupae over the left concha.
See this image and copyright information in PMC

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