Unusual Cause of Unilateral Epistaxis: Nasal Leech Infestation

Ghimire, A; Acharya, Achyut Bhakta

doi:10.31729/jnma.219

Cited by 13 publications

(16 citation statements)

References 1 publication

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“…Moreover, leech infestation may be observed in the nose, nasopharynx, and eye. Ghimire et al (9) reported a unilateral nostril epistaxis caused by leech infestation. Bilgen reported leech-caused recurrent epistaxis during 4 months (10).…”

Section: Discussionmentioning

confidence: 99%

“…The saliva of leeches contain several anticoagulants and a histamine, such as a vasodilator, which are useful for providing critical venous outflow for compromised tissue replants (14). Biologically active substances improve blood circulation in the organs; serve as a thrombolytic, anti-inflammatory substance; stimulate immunity promote tissue nutrition; and strengthen the immune systems (9).…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Cause of Bleeding on the Floor of Mouth: Leech Infestation

Kantekin

Sarı²,

Özkırış³

et al. 2016

TurkiyeParazitolDerg

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Leech infestation is a very rare phenomenon in humans. It mostly occurs in humans when rural untreated water is drunk or while swimming in streams or lakes. When leeches adhere to the mucous membrane, they ingest blood. Thus, they can sometimes cause severe anemia that may require blood transfusion. We report a case that was referred to emergency service with bleeding in the floor of the mouth. A 10-year-old child was referred to the emergency service of a city hospital with a complaint of swelling in the floor of the mouth and spitting of blood. The patient was promptly taken to the operating room. Using local anesthesia, a surgical incision was made, and a moving, dark brown foreign body was removed from the floor of the mouth and identified as a leech. Leech endoparasitism should be considered as a cause of unexplained anemia due to bleeding from the throat. Accordingly, leech infestation must be considered in differential diagnosis when a patient complains of spitting of blood, hoarseness, or dysphagia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Unusual Cause of Bleeding on the Floor of Mouth: Leech Infestation

Kantekin

Sarı²,

Özkırış³

et al. 2016

TurkiyeParazitolDerg

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“…Hence, it is recommended that a clinician should always suspect leech infestation for recurrent nasal bleeding in Tropics and it is always important to examine both the nasal cavities [9,10]. The usual time period (delay) between leech infestation and onset of [6] and the common symptoms are recurrent epistaxis, blood spitting, odynophagia, dysphagia, dyspnoea and at times hemoptysis, depending upon the various sites of infestation [11]. The endoparasitism usually persists for a long time before actual intervention by a clinician, because of the inconspicuous site of infestation and the absence of pain [12].…”

Section: Discussionmentioning

confidence: 99%

Epistaxis Due to Leech Infestation in Nose: A Report of Six Cases and Review of Literature

Dutta

Pal

2014

Indian J Otolaryngol Head Neck Surg

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The aim of this study is to report unusual cause of epistaxis due to leech infestation in nose in hilly area and its management. The study was carried out for a period of 4 years (2008-2012) in a secondary level hospital in hilly area of Darjeeling, West Bengal, India with data collected from the OPD and Emergency register of the patients. This retrospective case series consisted of six cases. All the cases presented with unilateral recurrent epistaxis and foreign body nose. Anterior rhinoscopy revealed fleshy greenish brown mobile mass inside the nasal cavity which was removed by forceps. The animate foreign body was identified as leech in all the cases. To conclude, in hilly areas leech infestation can present as animate foreign body in nose and it should be considered as important cause of epistaxis.

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“…Additionally, there are no reports of vinegar toxicity in the dog. In humans, various techniques have been used to detach leeches from mucous membranes, including suction (Adhikari ), normal saline (Hannan and Hoque ), lidocaine (Ghimire and Acharya ), forceps with or without bipolar electro‐cautery (Chen et al . ) and vinegar (Bilgen et al .…”

Section: Discussionmentioning

confidence: 99%

Oral infestation with leech Limnatis nilotica in two mixed‐breed dogs

Rajaei

Khorram

Mood

et al. 2013

J of Small Animal Practice

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Leeches are bloodsucking hermaphroditic parasites that attach to tissues using two muscular suckers, ingest large amounts of blood and may cause severe anaemia in the host. Two four-month-old mixed-breed dogs (one bitch and one male) were referred with anorexia, retching, hypersalivation and bleeding from the oral cavity. On physical examination, two live leeches were detected on the ventral aspect of the tongue of the bitch and one in a similar position in the male. The leeches were gently detached and removed using Adson tissue forceps after applying vinegar over the area. Microcytic hypochromic anaemia was detected in the bitch and mild leukocytosis in the dog. One month after treatment both animals were re-examined and a complete blood count was normal. Given that infestation with leeches as described here is associated with contaminated water, the use of clean and safe drinking water is recommended to avoid such diseases.

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Unusual Cause of Unilateral Epistaxis: Nasal Leech Infestation

Cited by 13 publications

References 1 publication

An Unusual Cause of Bleeding on the Floor of Mouth: Leech Infestation

An Unusual Cause of Bleeding on the Floor of Mouth: Leech Infestation

Epistaxis Due to Leech Infestation in Nose: A Report of Six Cases and Review of Literature

Oral infestation with leech Limnatis nilotica in two mixed‐breed dogs

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