In terms of stuff you don't want in your ears - this live maggot is pretty high up there.
The fruit fly lava was found to be nestling behind a 48-year-old woman's hearing aid, the New England Journal of Medicine revealed on Thursday.
Dr Hui-Ming Feng of the Tri-Service General Hospital in Taipei, Taiwan, writes: "The skin over the floor of the auditory canal, close to the eardrum, was eroded."
You're not from round here
It is thought the bug chose to nestle in the woman's ear because it was warm and cosy. It was easily removed and the patient made a full recovery.
"Most cases of animals in the ear canal are the flying objects and cockroaches," Dr Cheng-Ping added of the unusual visitor.
Indeed. Back in January we brought you the unfortunate tale of Hendrik Helmer, who had a 2cm long cockroach nestling in his.
And in 2012 we revealed charming photos of a spider peeking out of Chinese woman's ear canal.
Incy wincy spider: The arachnid peers out of a Chinese woman's ear canal