Aural Myiasis in a Saudi Infant

Objective: To report a case of aural myiasis in an infant living in a low hygienic condition at the southwestern part of Saudi Arabia. Case Report: A 4-month old, Saudi girl was brought by her parents to the Otolaryngology Outpatient Clinic of Muhayel General Hospital, in Muhayel, Saudi Arabia, with the complaint of a painful small swelling in front of the right ear for one week. There was a moving maggot inside a swelling in front of the right ear. The maggot was removed by forceps and suction was done for the discharge. Amoxicillin clavulanate suspension and sodium fusidate ointment were prescribed and the patient was discharged. Strict instructions for better hygiene were given to the parents and they were asked to bring their daughter weekly for follow-up of her condition. One month later, there were no further complaints of swelling or discharge. Examination revealed that both ears were normal. Conclusions: Aural myiasis is typically seen in patients with poor hygienic conditions. Its management is by mechanical removal of maggots and treatment with broad-spectrum antibiotics. Cleanliness, personal hygiene and control of flies are necessary measures for prevention of myiasis.