Article: Recurrent vomiting and anemia: An unusual clinical condition caused by midge larva

Sir,

Midges are true flies belonging to the family Chironomidae. They are most widely distributed and are the most abundant insects in freshwater. [1] The herbivorous larvae that are found in the sediment are an important source of food for larger aquatic insects and fish. They may cause allergic reactions in approximately 20% of exposed people, predominantly aquarists using larva as fish food. [2] They are not known to cause any other kind of human illness. Here we report an unusual condition due to ingestion of midge larvae along with water.

A 27-year-old female with subnormal intelligence was presented with swelling of neck, dysphagia, cough, and vomiting. There was history of excretion ...

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