Background: Myiasis-the feeding of fly larvae on living mammals has various clinical presentations depending on involved
tissues or organs. The most recognised causative organism Dermatobia hominis. It involves various sites, rarity in this case report is
the site of involvement and in turn occurrence of an underlying malignancy.
Case report: 68 year old lady, presented with an ulcer over the right side of the pre-auricular region for 1 year. On examination,
it was infested with maggots larvae, which later on had a underlying squamous cell carcinoma with basal cell carcinoma. Patient
underwent treatment for the same. Details of the case and the management is been presented.
Conclusion: Myiasis transmitted by Human Botfly, infests all cavities mainly ENT sites, in debilitated individuals. But its
occurrence in a open space of the body, and its association is a rarity and has been reported in this case. Author concludes, that all
myiasis should be managed meticulously.