A woman with hypertension presented to the clinic with a 4-day history of abnormal sounds in her ear. On examination, a small spider was seen moving within the external auditory canal of the left ear. The molted exoskeleton of the spider was also present. https://t.co/dye2sbbiL9 pic.twitter.com/SfeNBBGQS8

— NEJM (@NEJM) October 25, 2023