Schwanke Lindsey, Chen Derek, Lomiguen Christine M, Chin Justin
Primary Care, Lake Erie College of Osteopathic Medicine, Erie, USA.
Primary Care, Lake Erie College of Osteopathic Medicine, Greensburg, USA.
Cureus. 2020 Dec 12;12(12):e12046. doi: 10.7759/cureus.12046.
Otorhinolaryngologic foreign bodies may be encountered in-office visits, the emergency department, and speciality consultations. These include food, toys, and other small items, are present in pediatric patients. Because patients may be asymptomatic and the insertion of the foreign body not observed, obtaining medical care may be delayed. Conversely, insects as foreign bodies, especially in the external ear canal, can cause a patient significant pain and distress, directing the patient to seek immediate care. Here, we present a case of an adult Japanese beetle () as a foreign body in the ear of a 14-year-old female. A review of otorhinolaryngologic foreign bodies is also discussed, with particular attention to the ear and rural location. This case highlights the potential for agricultural insects to act as invasive foreign bodies, especially in areas where they are known to be endemic pests and the consequences of delayed treatment.
耳鼻喉科异物可见于门诊、急诊科及专科会诊。这些异物包括食物、玩具和其他小物品，多见于儿科患者。由于患者可能无症状，且异物插入过程未被观察到，因此可能会延迟就医。相反，昆虫作为异物，尤其是在外耳道，会给患者带来极大的疼痛和不适，促使患者立即就医。在此，我们报告一例14岁女性耳部有一只成年日本丽金龟作为异物的病例。本文还讨论了耳鼻喉科异物，尤其关注耳部及农村地区的情况。该病例突出了农业昆虫作为侵入性异物的可能性，特别是在已知其为地方性害虫的地区以及延迟治疗的后果。
