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1 results

  • An unusual cause of pre-auricular swelling

  • A T Harris, I Bhatti, Y Bajaj, G J C Smelt
  • Journal:
    The Journal of Laryngology & Otology / Volume 124 / Issue 3 / March 2010
    Published online by Cambridge University Press:
    11 August 2009, pp. 339-340
    Print publication:
    March 2010
  • 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.