A case of otomyiasis in a child with chronic otitis media

We report a child case with left chronic otitis media (COM), infected with Wohlfahrtia magnifica as a secondary facultative myiasis. An 8-year-old boy presented with a 7-day history of coming off three maggots from his left ear to our hospital. He had chronic otitis media for 5 years. The external ear channel was filled with batticon and liquid vaseline, and eight motile larvae were removed. He had topical COM treatment for 3 weeks. His ear was dry with 2 mm postero-superior tympanic membrane perforation and there were no further signs of larval infestation. The larval specimens were sent to the Parasitology Unit of the Faculty of Veterinary of Kafkas University for morphological examination, and subsequently identified as W. magnifica. Turkey is located in the subtropical zone, and is under the risk of myiasis infestations. Especially individuals with low care, from agrarian, and children are exposed to myiasis. (C) 2010 Elsevier Ireland Ltd. All rights reserved.