Aural myiasis in a patient with chronic otitis media

An 82-year-old man referred to our clinic with the complaints of bleeding and severe pain on his left ear for 4 days. On otoscopic examination, the left external ear canal was observed to be hemorrhagic. There was foul-smelling purulent discharge. Foul-smelling purulent discharge was included in the culture. After aspiration of the external ear canal live maggots were seen in the middle ear. With the help of a microscope, 14 larvas were removed out of the left middle ear. The extracted larvas were observed to be alive. The larvas were determined to be Wohlfahrtia magnifica in the 3rd stage by Parasitology Laboratory.