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Images in paediatrics
‘A bugging feeling’: a live foreign body in the ear
  1. Thomas Calleja
  1. Malta Foundation School, Mater Dei Hospital, Tal-Qroqq, Malta
  1. Correspondence to Thomas Calleja, Malta Foundation School, Mater Dei Hospital, Tal-Qroqq, Malta ; tom.calleja{at}

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Case report

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 …

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  • 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.