Answer: Arthropod, not a human parasite. The spine-like structures seem to bit best with an adult insect. As Florida Fan said, "This seems like a 'flown in' case!"
Thank you for all of the comments on what the differential for "worm in nose" is. The main one is nasal myiasis, although the morphologic features would be very different than what is seen in this case. You can check out a previous case of myiasis involving the ear HERE.
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