Melena revealing a nasopharyngeal leech: A paediatric case

Koraichi, Alae El; Ayoubi, A. El; Benjelloun, M.Y.; Bentalha, Aziza; Kettani, S.

doi:10.1016/j.ajg.2014.01.002

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…Leeches secrete an anticoagulant agent called hirudin which makes the wound bleeding more than expected and it may persist even after the worm is removed. Therefore, as reported previously, hirudiniasis may lead to anemia such as in our case [ 15 ]. Treatment is removal of the leech as soon as possible to prevent complications.…”

Section: Discussionsupporting

confidence: 77%

Bronchial Leech Infestation in a 15-Year-Old Female

Moslehi

Imanieh

Adib

2016

Case Reports in Pediatrics

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Foreign body aspiration (FBA) is a common incidence in young children. Leeches are rarely reported as FBA at any age. This study describes a 15-year-old female who presented with hemoptysis, hematemesis, coughs, melena, and anemia seven months prior to admission. Chest X-ray showed a round hyperdensity in the right lower lobe. A chest computed tomography (CT) demonstrated an area of consolidation and surrounding ground glass opacities in the right lower lobe. Hematological investigations revealed anemia. Finally, bronchoscopy was performed and a 5 cm leech was found within the right B7-8 bronchus and removed by forceps and a Dormia basket.

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Section: Discussionsupporting

confidence: 77%

Bronchial Leech Infestation in a 15-Year-Old Female

Moslehi

Imanieh

Adib

2016

Case Reports in Pediatrics

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“…But in some cases, it was reported to affect the rectum or esophagus [ 6 , 10 ]. Due to the variety of leech infestation sites, this disease manifests itself with different symptoms such as epistaxis [ 8 ], hematemesis [ 7 , 12 ], melena, rectal bleeding [ 6 ], and even cough [ 7 ]. For a comprehensive review of this topic, we conducted an advanced search of the PubMed/Medline, Scopus, and Web of Science databases using keywords and Mesh terms (“leeches” [Mesh], leech, hirudinea, “gastrointestinal Hemorrhage”[Mesh], hematochezia, hematemesis, melena), which are presented in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

“…They can involve various parts of the GI tract and the respiratory system, including the nasopharynx, oral cavity, larynx, esophagus, and rectum [ 5 , 6 ]. GI bleeding, which is caused by leech infestation, can manifest itself in different patterns, such as epistaxis, hematemesis [ 7 ], melena [ 8 ], and fresh rectal bleeding [ 9 ]. Here we present a 3-year-old boy who transferred to our center with tarry stool and bloody vomiting.…”

Section: Introductionmentioning

confidence: 99%

Manifestation of leech infestation as severe gastrointestinal bleeding in a 3-year-old boy: a case report and review of the literature

et al. 2022

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Background Leeches are a class of hermaphroditic parasites that can attach to various body parts and start sucking blood. Gastrointestinal (GI) bleeding due to leeches is a rare phenomenon that is more common in less developed countries. Common symptoms include melena, hematemesis, pallor, weakness, and fatigue. Due to the similar symptoms of this issue to the main differential diagnoses of GI bleeding in pediatrics, such as diarrhea, constipation, diverticulitis, esophagitis, and anal fissures, it is challenging to differentiate it from the rest. Case presentation We present a three-year-old boy who was transferred to our center with hematemesis, tarry stool, and a drop in hemoglobin level. He finally was diagnosed with a leech in his stomach. Conclusions In less developed counties, the inability to reach safe drinking water, swim in lakes or springs, and inadequate awareness of public health information among individuals can be risk factors for leech infestation.

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“…Burun veya nazofarenkse yerleşen sülük hastada anterior ya da posterior burun kanaması, burunda yabancı cisim hissi ve burun tıkanıklığı gibi semptomlara neden olabilirken; oral kavitede yerleşmiş olanlar ağızdan kan gelmesi, yutma güçlüğüne; larenkste yerleşenler ise nefes darlığı, asfiksi ve hemoptizi gibi semptomlara neden olabilmektedir. Hastanın tanı alamadığı durumlarda asfiksi ve derin anemi sebebiyle ölüm meydana gelebilir (1,2). Olgumuzda nazofarinks yerleşimli sülük burun tıkanıklığı ve ağızdan az miktarda kan gelmesine neden olmuştu.…”

Section: Nasopharyngeal Leechunclassified

Nasopharyngeal Leech

TUNÇ¹,

TUNÇ²

2018

Turkish J Pediatr

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ÖZSülükler genellikle kaynak sularda ve kirli su birikintilerinde yaşar. İnsanlardaki infestasyonlar bu tür suların kullanılması, içilmesi veya bu sularda yüzülmesi ile oluşmaktadır. Sülükler ağız ve burun yoluyla vücuda girerek nazal kaviteye, nazofarinkse, larinkse yerleşebilirler. Bu bölgelere yerleşen sülükler burun tıkanıklığı, epistaksis, hemoptizi, stridor ve anemiye yol açabilir. Bu yazıda nazofarinkste sülük saptanan 10 yaşındaki erkek hasta sunulmuştur. ABSTRACTLeeches usually live in spring and dirty water deposits. Infestations in humans are caused by the use, drinking or swimming in these waters. Leeches can settle in the nasal cavity, nasopharynx, and larynx by entering the body through the mouth and nose. Leeches that have settled in these zones can lead to nasal obstruction, epistaxis, hemoptysis, stridor and anemia. A 10-year-old male patient who presented with nasopharyngeal leech was presented in this article.

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Melena revealing a nasopharyngeal leech: A paediatric case

Cited by 5 publications

References 5 publications

Bronchial Leech Infestation in a 15-Year-Old Female

Bronchial Leech Infestation in a 15-Year-Old Female

Manifestation of leech infestation as severe gastrointestinal bleeding in a 3-year-old boy: a case report and review of the literature

Nasopharyngeal Leech

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