An important gross taxonomic feature in this family is the nature of the posterior spiracle which is located within a depression/pit at the posterior end of the maggot (Figure (Figure1). The specimens were examined under a microscope at 400× magnification.īased on the presence of two respiratory slits each in the posterior spiracles, the 4 maggots were identified as second stage maggot of the fly family Sarcophagidae. The specimens were processed for study and identification according to standard procedures. Four maggots in 70% alcohol were sent to the Medical Entomology Unit, Institute for Medical Research, Kuala Lumpur. After removing the maggots and administration of appropriate medication, the child was discharged. The objects were carefully removed using fine forceps and were confirmed to be maggots. On close examination, the medical officer found moving objects in the ear. It was discovered that the left ear was inflamed. The child was observed to cry often and the parents subsequently brought him to the hospital for medical examination. Ī two day old male infant from Alor Setar, State of Kedah, was discharged from a private specialist medical centre and brought back home. In this paper we report the fourth case of aural myiasis in a 2 day old infant in Malaysia. In Malaysia, thus far, only 3 cases of aural myiasis have been described. Only a few cases of myiasis have been reported in Malaysia but this could be due to a lack of documentation. A review on all human cases of myiasis in Malaysia up to 1984 were classified according to Zumpt's nomenclature. The first documented case of human myiasis in Malaysia was by Reid of a male who had an ulcer on his big toe infested with the green bottle, Chrysomya bezziana.
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