Document Detail

Leech endoparasitism: report of a case and review of the literature.
MedLine Citation:
PMID:  18548278     Owner:  NLM     Status:  MEDLINE    
We report the case of an 11-year-old boy who presented with fresh blood in his mouth and a history of sore throat during the past 2 weeks that was unresponsive to antibiotic therapy. Inspection of the oral cavity revealed a black circular mass attached to the posterior wall of the oropharynx. This mass was determined to be a live engorged leech. Leech endoparasitism is caused by aquatic leeches that attach themselves to mucus membranes of body cavities after the host has swum in bodies of fresh water or drunk from unsafe water sources. Pharyngeal hirudiniasis may present in different forms depending on the exact location of the parasite in the body and must be included in the list of differential diagnosis for common conditions such as pharyngitis, hemoptysis or anemia in pediatric patients living in endemic areas.
Farhad Montazeri; Arash Bedayat; Layli Jamali; Mehran Salehian; Ghoderat Montazeri
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-06-12
Journal Detail:
Title:  European journal of pediatrics     Volume:  168     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-11-26     Completed Date:  2009-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  IM    
Digestive Disease Research Center, Shariati Hospital, Medical sciences/Tehran University, 72, Karegar Shomali Avenue, 17th street, 1438837431, Tehran, Iran.
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MeSH Terms
Airway Obstruction / diagnosis,  etiology
Anemia, Iron-Deficiency / etiology
Diagnosis, Differential
Foreign Bodies / complications,  diagnosis*
Pharyngitis / diagnosis,  etiology

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