Skip to main content

Advertisement

Log in

Nasopharyngeal bleeding due to leech bites in a 9-month-old infant

  • Clinical Brief
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Leeches are annelids, comprising the subclass Hirudinea. There are freshwater, terrestrial and marine leeches. Haemophagic leeches attach to their hosts and remain there until they become filled up with blood and then they fall off to digest. Leech bites can manifest various symptoms, which lead to anemia. Here is reported, a case of leech bites in a 9-month-old infant, with a long history of hematemesis, melena, epistaxis and anemia which demanded repeated transfusions. So, leech bites may be a differential diagnosis of anemia particularly in the endemic rural areas where villagers use non boiled water.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Oski FA, Brugnore C, Nathan DG. A diagnostic approach to the anemic patient. In Nathan DG, Orkin SH eds. Nathan and Oski’s Hematology of infancy and childhood, Pennsylvania; W.B Saunders Company. 1998;375–385.

    Google Scholar 

  2. Cundall DB, Whitehead SM, Hechtel FOB. Severe anemia and death due to pharyngeal leech myxobdella Africana. Trans R SOC Trop Med Hyg 1986;80: 940–944.

    Article  CAS  PubMed  Google Scholar 

  3. Demiroren K, Caliskan U. Unexpected result in the etiological approaching to an anemic case: a leech. Pediatr Hematol Oncol 2003; 20: 547–50.

    Article  PubMed  Google Scholar 

  4. Kruger C, Malleyeck L, Olsen OH. Aquatic leech infestation: A rare cause severe anemia in an adolescent tanzanian girl. Eur J Pediatr 2004; 163: 297–299.

    Article  PubMed  Google Scholar 

  5. Bilgen C, Karci B, Uloz U. A nasopharyngeal mass: Leech in the naso pharynx. Int J Pediatr Oto Rhinolaryngol 2002; 64: 73–76.

    Article  Google Scholar 

  6. Estambale BBA, Knight R, Chung R. Haematemesis and severe anemia due to a pharyngeal leech Myxobdella Africana in a Kenyan Child: A case report. Trans R Soc Trop Med Hyg 1992; 86: 458.

    Article  CAS  PubMed  Google Scholar 

  7. Goldmid JM. Leech infesation of man in Rhodesia. Trans R Soc Trop Med Hyg 1997; 71: 86.

    Article  Google Scholar 

  8. Agin H, Ayhan FY, Gulfidan G, Cevik D. Severe anemia due to the pharyngeal leech Nimlatis nilotica in a child. Turk Parazitol Derg 2008; 32: 247–248.

    Google Scholar 

  9. Ghimire A, Acharya A. Unusual cause of unilateral epistaxis: nasal leech infestation. JNMA J Nepal Med Assoc 2008; 47: 38–40.

    CAS  PubMed  Google Scholar 

  10. Siddiqui TS, Qureshi I, Mufti TS. Nasal leech-a rare cause of severe anemia. J Ayub Med Coll Abbottabad 2005; 17: 82–83.

    PubMed  Google Scholar 

  11. Kayagusuz I, Yalcin S, Keles E, 2001. Leeches in the larynx. Eur Arch Otorhinolaryngol 2001; 258: 455–457.

    Article  Google Scholar 

  12. Hailemariam B, 1995. Postmenopausal vaginal bleeding due to vaginal wall leech infestation. Ethiop Med J, 33:183–185.

    CAS  PubMed  Google Scholar 

  13. Alcelik T, Cekic O, Totan Y. Ocular leech infestation in a child. Am J Ophthalmol 127: 110–112.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amir Hossein Jafari Rouhi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jafari Rouhi, A.H., Vegari, S., vahdati, S.S. et al. Nasopharyngeal bleeding due to leech bites in a 9-month-old infant. Indian J Pediatr 77, 573–574 (2010). https://doi.org/10.1007/s12098-010-0066-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-010-0066-5

Key words

Navigation