Right aural myiasis in a hypertensive patient - a rare and disturbing Ear, Nose, and Throat emergency (case report)

Aural myiasis is an uncommon parasitic infestation involving the external auditory canal by fly larvae, typically seen in tropical climates, especially among individuals with poor hygiene or immunocompromised status. Though rare, it can lead to serious complications, including tympanic membrane perforation or intracranial invasion. We describe a 55-year-old man with hypertension who had been experiencing pain and bleeding in his right ear for four days. Live maggots were found in the right external auditory canal during otoscopic examination. It was impossible to see the tympanic membrane. Systemic and topical antibiotics, supportive therapy, and aural toileting were all effective treatments for the patient. To avoid major complications, aural myiasis must be diagnosed early and treated quickly. In this instance, there was no deeper structure infection or involvement of the facial nerve, and the recovery went smoothly. The patient was receiving antihypertensive medication and had a history of angioplasty. Even though it is uncommon, patients who present with sudden-onset ear pain, bleeding, and a crawling sensation should be evaluated for aural myiasis, particularly in areas where it is endemic. For management, early detection and comprehensive debridement are essential.