Myiasis is defined as infestation of a mammal by fly larvae. It may occur on either living tissues (primary myiasis) or dead tissues (secondary myiasis). In this report, we present a patient with myiasis with an extremely rare clinical manifestation and severe allergic reaction, and we review the literature in order to reveal the current status. A 20-year-old female patient was admitted to our emergency department due to rush on face, cough and shortness of breath. The maggot came out of her nose was identified as Oestrus ovis . With a diagnosis of severe allergic reaction due to myiasis, she was treated diphenhidramine, prednisone and inhale albuterol in the emergency department. After treatment and further investigation, she was discharged with full recovery. Myiasis is a rare cause for severe allergic reaction in patients with definite diagnosis. Immediate diagnosis and treatment are milestones in preventing bad outcomes.

Benign paroxysmal positional vertigo is the cause of peripheral vertigo, which only takes seconds posed by certain head and body position and led to severe attacks of vertigo. Therefore, it is a disturbance that causes a continuous fear of fall and anxiety in some patients. Although benign paroxysmal positional vertigo is the most common cause of peripheral vertigo, it may cause unnecessary tests, treatment costs and the loss of labor due to the result of the delay in the diagnosis and treatment stages. Diagnosis and treatment of this disease is easy. High success rates can be achieved with appropriate repositioning maneuvers after taking a detailed medical history and accurate assessment of accompanying nystagmus. The aim of this paper was to review the updated information about benign paroxysmal positional vertigo. Key words: peripheric vertigo, nystagmus, reposition maneuver ÖZET Benign pozisyonel paroksismal vertigo sadece belirli baş ve vücut pozisyonuyla ortaya çıkan saniyeler süren, şiddetli vertigo ataklarına yol açan periferik vertigo sebebidir. Bu nedenle bazı hastalarda sürekli düşme korkusu ve anksiyeteye sebep olabilen bir rahatsızlıktır. Benign pozisyonel paroksismal vertigo en sık periferik vertigo sebebi olmasına rağmen halen tanı ve tedavi aşamasındaki gecikmeler sonucunda gereksiz tetkik ve tedavi maliyetine, iş gücü kaybına sebep olabilmektedir. Tanı ve tedavisi kolay olan bu hastalıkta detaylı anamnez alınması, doğru tanı manevrası uygulanması ve eşlik eden nistagmusun doğru değerlendirilmesi sonucu uygun repozisyon manevraları ile yüksek başarı oranları elde edilebilmektedir. Bu yazıda benign pozisyonel paroksismal vertigo ile ilgili güncel bilgilerin Arşiv Kaynak Tarama Dergisi . Archives Medical Review Journal 2015;24(4):555-564.