Extraction of live leech from nasal cavity: an interesting case report from a rural area hospital

Authors

  • Hari C Uppal ENT Specialist, Civil Hospital Arki, Distt. Solan, Himachal Pradesh
  • Vijay Singh Chandel Medical Officer, PHC Baroh, Distt Kangra, Himachal Pradesh
  • Lata R Chandel Senior Resident, Deptt. of Microbiolog, Dr. RPGMC Kangra at Tanda, Himachal Pradesh

DOI:

https://doi.org/10.3329/bjo.v18i2.12027

Keywords:

Leeches, tropical, epistaxis

Abstract

Introduction: Leeches are blood sucking invertebrate parasites. They are endemic in tropical regions like Asia, Africa and Mediterranean countries with different colors and sizes. Entry into human body is through drinking polluted water. These inhabit mucosa of nose, nasopharynx, oropharynx, tonsils, esophagus but rarely larynx.

Case report: Here we report a case of live leech in the left nasal cavity in a 40-year-old male that caused symptoms of watery discharge and occasional epistaxis from left nostril along with headache. Habitual drinking of water from a natural source of water was assumed as the cause of leech infestation. The leech was extracted finally from oropharynx, with great effort as it continuously changed its locations.

Conclusion: Leech infestation must be kept as differential diagnosis for various foreign bodies in the respiratory tract causing, unusual respiratory distress and epistaxis, especially in rural area people, where drinking water from natural sources of water is a regular habit.

DOI: http://dx.doi.org/10.3329/bjo.v18i2.12027

Bangladesh J Otorhinolaryngol 2012; 18(2): 222-224

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Published

2012-11-24

How to Cite

Uppal, H. C., Chandel, V. S., & Chandel, L. R. (2012). Extraction of live leech from nasal cavity: an interesting case report from a rural area hospital. Bangladesh Journal of Otorhinolaryngology, 18(2), 222–224. https://doi.org/10.3329/bjo.v18i2.12027

Issue

Section

Case Reports