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We present a case of a 16-year-old man who presented to our ENT emergency department in Malta with a 2-day history of acute-onset right ear pruritus and otalgia, describing a distressing ‘bugging feeling’ intermittently. His parents denied having any medical history but they admitted to residing in poor living conditions in a small flat with a cockroach infestation. Otoscopic examination of the right ear showed an insect obscuring the …
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Obtained from the parents.