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A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation
Leeches are rare cause of foreign body in airways. A 23-year-old male, experiencing epistaxis and difficulty in swallowing is presented. During nasopharyngoscopy, a moving leech was observed on the nasopharynx posterior wall in midline location, and removal of the leech was decided under general ana...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423909/ https://www.ncbi.nlm.nih.gov/pubmed/37583644 http://dx.doi.org/10.18502/ijpa.v18i2.13195 |
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author | Bektas, Meltem Yarimoglu, Rafet Ozcan, Ayse Baltaci, Bulent Basar, Hulya |
author_facet | Bektas, Meltem Yarimoglu, Rafet Ozcan, Ayse Baltaci, Bulent Basar, Hulya |
author_sort | Bektas, Meltem |
collection | PubMed |
description | Leeches are rare cause of foreign body in airways. A 23-year-old male, experiencing epistaxis and difficulty in swallowing is presented. During nasopharyngoscopy, a moving leech was observed on the nasopharynx posterior wall in midline location, and removal of the leech was decided under general anaesthesia. The flexible nasopharyngoscopy was inserted, but removal was unsuccessful due to the leech’s movements. Leeches are blood-sucking parasites, so neuromuscular blocking agent was given to prevent the movement. After administration, motion of the leech was lost and easily removed undamaged. In patients presenting with unexplained epistaxis, hemoptysis, dyspnea, and foreign body sensation in the airway, leech infestation should be included as the differential diagnosis and history of contact with stream water should be questioned. We concluded that use of low dose neuromuscular blocking agents facilitates the gentle removal, and could be necessary for successful management of removal of leech under general anaesthesia. |
format | Online Article Text |
id | pubmed-10423909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-104239092023-08-15 A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation Bektas, Meltem Yarimoglu, Rafet Ozcan, Ayse Baltaci, Bulent Basar, Hulya Iran J Parasitol Case Report Leeches are rare cause of foreign body in airways. A 23-year-old male, experiencing epistaxis and difficulty in swallowing is presented. During nasopharyngoscopy, a moving leech was observed on the nasopharynx posterior wall in midline location, and removal of the leech was decided under general anaesthesia. The flexible nasopharyngoscopy was inserted, but removal was unsuccessful due to the leech’s movements. Leeches are blood-sucking parasites, so neuromuscular blocking agent was given to prevent the movement. After administration, motion of the leech was lost and easily removed undamaged. In patients presenting with unexplained epistaxis, hemoptysis, dyspnea, and foreign body sensation in the airway, leech infestation should be included as the differential diagnosis and history of contact with stream water should be questioned. We concluded that use of low dose neuromuscular blocking agents facilitates the gentle removal, and could be necessary for successful management of removal of leech under general anaesthesia. Tehran University of Medical Sciences 2023 /pmc/articles/PMC10423909/ /pubmed/37583644 http://dx.doi.org/10.18502/ijpa.v18i2.13195 Text en Copyright © 2023 Bektas et al. Published by Tehran University of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited. |
spellingShingle | Case Report Bektas, Meltem Yarimoglu, Rafet Ozcan, Ayse Baltaci, Bulent Basar, Hulya A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title | A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title_full | A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title_fullStr | A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title_full_unstemmed | A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title_short | A Rare Cause of Epistaxis: Nasopharyngeal Leech Infestation |
title_sort | rare cause of epistaxis: nasopharyngeal leech infestation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423909/ https://www.ncbi.nlm.nih.gov/pubmed/37583644 http://dx.doi.org/10.18502/ijpa.v18i2.13195 |
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