Introduction
The term ”myiasis” refers to the infestation of live people or animals by flies [1, 2]. The word ”myiasis,” which means ”fly,” is derived from the Greek word ”myia,” which was first used in 1840[3]. Myiasis is the particular, semi-specific, or inadvertent infiltration of living mammalian tissue by dipteran fly larvae to feed on the host’s organs, bodily fluids, or ingested food. The fly is thought to be able to lay its eggs on an immobile person’s skin, wounds, or natural openings while in flight. Larvae that produce myiasis primarily target the body’s cutaneous tissue (furuncular and creeping), bodily cavities, and organs [4]. Human myiasis can range from benign to asymptomatic, or it can cause minor to severe problems, even death [5].
Because of the potential for brain penetration, infections of the nose and ears are particularly deadly; the mortality rate is about 8%. In the tropics and subtropics, myiasis is a widespread parasite infestation. Due to global travel, cases are also seen in Europe and North America outside of the areas where it is endemic [4, 6]. Children are more prone to developing aural myiasis than adults. It is frequently observed in adults as well, particularly in mentally impaired people. The Sarcophagidae family includes the majority of the recognized causal agents. In the Mediterranean Basin, Southern Russia, Turkey, Israel, the Middle East, and the Far East, Wohlfahrtia Magnifica, a species of the Sarcophagidae, is frequently identified as the cause of several forms of myiasis [7, 8]. For the otolaryngologist, aural myiasis presents a rare but distinctive clinical entity.
The clinical spectrum covered a wide range of symptoms, including maggots in the ear, otalgia, otorrhea, perforation of the eardrum, bleeding, itching, roaring sound, tinnitus, furuncle of the external ear, and restlessness. Clinicians must refer patients with maggot species identification in order to gather epidemiological information on cases of auditory myiasis [9].