Wormy ear: A case report

Cavus, Umut Yucel; Candirli, Celal; Yaman, Ayhan Sumer; Sonmez, Ertan; Bircan, Metin; Civelek, Cemil
November 2013
HealthMed;2013, Vol. 7 Issue 11, p3053
Academic Journal
Introduction: Myiasis is an infestation of live humans and vertebrate animals with dipterous larvae which, at least for a certain period, feed on the host's dead or living tissues, liquid substances, or ingested food. Adult female flies leave their larvae on abrasions and cuts, eyes, ears, noses and, the hollow organs, such as anus, of humans and animals. The larvae develop in organs in a short time. We report in this paper a larval infestation of Wohlfahrtia magnifica behind the right ear of a 51-year-old male. Case report: A 51-year-old male patient presented to our emergency department with an open wound behind the right ear for one month. Physical examination revealed live maggots on the ear. The maggots were approximately 8-10 millimeters long. The patient's lesion was consulted to our clinic with right ear turned into open sores about the size of 10x6 cm. On examination, an open wound in the right ear was discovered which was covered with granulation tissue with many freely moving live larvae. In morphological examination larvae belonging to species Wohlfahrtia Magnifica were identified. Squamous cell carcinoma was diagnosed by histopathological examination of specimens. Conclusion: Systemic examination of the patients with chronic wounds, especially those who are neglected and have poor hygiene, should be carefully done and myiasis should always be considered in differential diagnosis.


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