Pediatrik Aural Miyazis: Olgu sunumu

OZET: Aural miyazis, sinek larvalarinin kulakta yerlesimi ve buna bagli ortaya cikan semptomlar ile karakterize olan bir hastaliktir. Oldukca nadir gorulen bu durum ozellikle dusuk sosyo-ekonomik seviyeye sahip cocuklari ve mental retardasyonu olan kisileri etkiler. Bu makalede fakir bir aileden gelen, 4 yasinda bir kiz cocugunun sol kulagina yerlesmis 10 adet Wohlfahrtia magnifica larvasinin neden oldugu klinik tablo sunulmaktadir. Sol kulakta akinti, aglama ve huzursuzlugu olan ve bu nedenle annesi tarafindan kulagina sut damlatilmis olan hastanin yapilan muayenesinde dis kulak yolunu dolduran larvalar otomikroskopi esliginde temizlenmis ve timpanik membranin perfore oldugu izlenmistir. Salin irigasyonu yapilan ve topikal antibiyoterapi verilen hastanin kontrollerinde herhangi bir sorun izlenmemistir. Anahtar Kelimeler: Miyazis, otalji, otore, Wohlfahrtia magnifica ABSTRACT: Aural myiasis is a disease characterized by infestation of fly larvae in the ear and symptoms associated with this infestation. It is a rarely encountered situation and usually affects pateints having mental retardation and children living with families with a low socio-economical status. In this article we present a case report regarding a clinical condition caused by infestation of 10 Wohlfahrtia magnifica larvae in the ear of a 4 year-old girl. Following a history of crying, irritability and left sided otorrhea, the mother of the patient had filled the ear canal with a few drops of milks. Phyisical examination of the patient revealed multiple larvae in the external ear canal. The larvae were aspirated under otomicroscopic vision and tympanic membrane was found to be perforated. The field was irrigated with saline and the patient was prescribed topical antibiotic drops. No complications were observed during the folow up period of the patient. Key words: Myiasis, otalgia, otorrhea, Wohlfahrtia magnifica