A 54-year-old Asian man presented with a 2-week history of an insect bite on his right ear. He had applied only salt water to the ear, both for cleaning and to relieve pruritus. Several days after the bite occurred, his right ear started to swell, and the swelling progressed to involve the upper one third of the ear. He was otherwise healthy and had no complaints of painful joints, hearing loss, hoarseness, fever, or malaise. He denied any other trauma to the right ear. He did not sleep on a hard pillow or on the side where he had the lesion.
Li L, Elenitsas R, Bondi E. Noninflammatory, Fluctuant Swelling of the Ear. Arch Dermatol. 2001;137(5):657-662. doi: