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A spider was found inside a woman’s ear. Such cases are rare, doctors say, but not unheard of.

Dr. Stacey Ishman, an otolaryngology instructor at the University of Wisconsin School of Medicine and Public Health, estimated that she has treated about eight patients with insects in their ears over her 23-year career — often people who did outdoor activities like camping.

“Most of the time the ear is completely fine,” said Ishman, who also wasn’t involved in the new report. “If there’s some injury to the ear canal, quite honestly it’s more often from people trying to get it out than it is from the bug itself.”