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An unusual cause of pre-auricular swelling

  • A T Harris (a1), I Bhatti (a1), Y Bajaj (a1) and G J C Smelt (a1)
Abstract
Objective:

To present an interesting cause of pre-auricular swelling.

Case report:

We report the case of a 39-year-old woman who presented to the ENT department as an emergency with swelling in the left pre-auricular region. The patient had recently travelled to Central America, where the botfly is endemic. On examination, there was a raised, indurated area with a central orifice. A botfly larva was suspected. The larva was suffocated with paraffin paste, allowing removal without remnants being retained.

Conclusion:

Suffocation of botfly larvae is favoured to surgical removal, due to the possibility of larval remnants being retained and acting as a nidus for infection. The increasing frequency of exotic travel means doctors need to be more aware of tropical medicine.

Copyright
Corresponding author
Address for correspondence: Mr A T Harris, Flat 9 Arncliffe House, 1 Arncliffe Road, West Park, Leeds LS16 5JE, UK. E-mail: andrew.harris@doctors.org.uk
References
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1Johnston, M, Dickinson, G.An unexpected surprise in a common boil. J Emerg Med 1996;14:779–81
2Pallai, L, Hodge, J, Fishman, SJ, Millikan, LE, Phelps, RG.Case report: myiasis – the botfly boil. Am J Med Sci 1992;303:245–8
3Garvin, KW, Singh, V.Case report: cutaneous myiasis caused by Dermatobia hominis, the human botfly. Travel Med Infect Dis 2007;5:199201
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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