Tay, Sze YenRamasamy, Barathy RaniWatson, D. AshleyMontoya, Manuel2021-12-171757-790Xhttp://hdl.handle.net/1885/256651We describe a case of nasal myiasis due to Musca domestica in a 97-year-old Peruvian farmer with a previously undiagnosed mucocutaneous leishmaniasis. Initial attempts to remove the fly larvae using manual extraction with a toothed forceps and normal saline irrigation were unsuccessful. On subsequent nasal irrigation with ivermectin solution, the patient self-expulsed approximately 50 larvae within 15 min. He also received a course of oral ivermectin. A post-treatment CT scan revealed clear sinuses. Here, we propose that ivermectin irrigation is a simple and effective treatment for nasal myiasisapplication/pdfen-AU© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ201810.1136/bcr-2017-2241422020-11-23