만성 알코올중독증 환자에서 발생한 외이도 구더기증 1예

Myiasis is defined as an infestation of the organ or tissue of human and other animals by fly maggots. Aural myiasis is a rare clinical state and occur frequently in eldery, chronic alcoholism and poor hygiene state. We presented here a case of aural myiasis in chronic alcoholism patient. Patient visited emergency room for multiple contusion by fall down accident. Incidentally, alive maggots were discovered in right auricle. Patients was transfer to otolaryngologist and removed by using ear forcep and gentle irrigation of ear to expel any remnant. Additionally antibiotics was used and mupirocin soaking gauze packed on external auditory canal for prevent secondary infection. There was no evidence of intracranial involvement on computed tomography (CT) and hearing was normal. Eventually aural myiasis is successfully treated by direct extraction of larvae and application of preventative methods. (J Clinical Otolaryngol 2016;27:332-335)