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worms in the ear

Worms in the ear usually refer to aural myiasis, a rare infestation by fly larvae (maggots), or a very rare case of an actual worm infestation, requiring medical intervention to safely remove the organisms and prevent dangerous complications. Seek immediate medical attention for symptoms like itching, pain, or discharge from the ear to ensure proper diagnosis and treatment, which typically involves mechanical removal. 

What to Do 

  1. See a doctor immediately: A medical professional is best equipped to remove any living organisms from the ear safely and diagnose any potential infection.
  2. Do not probe or insert objects: Avoid inserting anything into your ear, as this could push the organism further in, cause injury, or worsen the situation.
  3. Stay calm: Try to stay still to minimize movement, which can prevent further irritation to the ear canal.
  4. Do not use oil without guidance: While oil can sometimes be suggested to suffocate insects, it can complicate certain infections and should only be used under medical guidance.

Why Medical Attention is Crucial

  • Risk of Complications: Infestations in the ear can lead to serious complications, including bone destruction and potential penetration into the brain, especially if left untreated, according to National Institutes of Health (NIH)
  • Accurate Diagnosis: A doctor can properly identify the type of organism and determine the extent of the infestation. 
  • Safe Removal: Medical professionals use specialized tools and techniques, such as a microscope and forceps, to ensure safe removal of the larvae without causing damage. 

Aural Myiasis

  • What it is: Aural myiasis is an infestation of the ear with the larvae (maggots) of dipterous insects (flies). 
  • Risk factors: It is more common in tropical regions, and factors like poor personal hygiene, chronic ear infections, and immunocompromised states can increase the risk. 
  • Symptoms: You may experience itching, earache (otalgia), ear discharge (otorrhea), and a feeling of movement in the ear
Live Maggots in Ear Caught
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