CASE REPORT
Leech Infestation of the Nasopharynx; A Rare Cause of Epistaxis and Hemorrhage
 
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1
Van İpekyolu Public Hospital, Department of Otolariyngology, Van, Turkey
 
2
Gaziosmanpaşa University, Medical Faculty, Department of Otolariyngology, Tokat, Turkey
 
3
Van Education and Research Hospital, Department of Pediatric Surgery, Van, Turkey
 
4
Van Women Maternity and Children's Hospital, Department of Pediatric Diseases, Van, Turkey
 
 
Publication date: 2011-04-11
 
 
Corresponding author
Mehmet Fatih Garça   

İpekyolu Devlet Hastanesi KBB Servisi, Van/ Turkey
 
 
Eur J Gen Med 2011;8(2):141-143
 
KEYWORDS
ABSTRACT
In this case report we present a live leech in the nasopharynx of a 14 years old male that caused symptoms of oral hemorrhage and epistaxis. Habitual drinking of water from spring appeared to cause leech infestation. The leech was removed endoscopically after 4% pantocain and oxmetazolin application. Leech infestation must be kept in mind in the differential diagnosis of unusual respiratory distress, epistaxis, oral hemorrhage and hemoptysis especially on those who are living in rural areas where drinking water from springs is a habit.
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