The
n e w e ng l a n d j o u r na l
of
m e dic i n e
images in clinical medicine Lindsey R. Baden, M.D., Editor
An Unusual Auricular Foreign Body
A
48-year-old woman who had worn a hearing aid in her left ear Hui-Ming Feng, M.D. for many years presented to the emergency department with severe otalgia Cheng-Ping Shih, M.D. of 1 day’s duration. Bloody otorrhea in the left ear was noted after the hear- Tri-Service General Hospital ing aid was removed. Physical examination showed a fruit-fly larva moving in the Taipei, Taiwan left external auditory canal (see video). The skin over the floor of the auditory canal, [email protected] close to the eardrum, was eroded. The larva was removed uneventfully, and the patient received topical antibiotic treatment with ofloxacin. The otalgia resolved immediately, and 2 weeks after treatment, the erosion in the left auditory canal was completely healed.
DOI: 10.1056/NEJMicm1212769 Copyright © 2014 Massachusetts Medical Society.
n engl j med 370;7
nejm.org
february 13, 2014
The New England Journal of Medicine Downloaded from nejm.org on October 16, 2015. For personal use only. No other uses without permission. Copyright © 2014 Massachusetts Medical Society. All rights reserved.
e11
n e w e ng l a n d j o u r na l
of
m e dic i n e
images in clinical medicine Lindsey R. Baden, M.D., Editor
An Unusual Auricular Foreign Body
A
48-year-old woman who had worn a hearing aid in her left ear Hui-Ming Feng, M.D. for many years presented to the emergency department with severe otalgia Cheng-Ping Shih, M.D. of 1 day’s duration. Bloody otorrhea in the left ear was noted after the hear- Tri-Service General Hospital ing aid was removed. Physical examination showed a fruit-fly larva moving in the Taipei, Taiwan left external auditory canal (see video). The skin over the floor of the auditory canal, [email protected] close to the eardrum, was eroded. The larva was removed uneventfully, and the patient received topical antibiotic treatment with ofloxacin. The otalgia resolved immediately, and 2 weeks after treatment, the erosion in the left auditory canal was completely healed.
DOI: 10.1056/NEJMicm1212769 Copyright © 2014 Massachusetts Medical Society.
n engl j med 370;7
nejm.org
february 13, 2014
The New England Journal of Medicine Downloaded from nejm.org on October 16, 2015. For personal use only. No other uses without permission. Copyright © 2014 Massachusetts Medical Society. All rights reserved.
e11
