A LEECH IN THE NASAL CAVITY

Budiman, Bestari J and Roza, Yelvita (2014) A LEECH IN THE NASAL CAVITY. -, - (-). ISSN - (Unpublished)

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Abstract

Animate foreign body is a rare entity but common emergency presentation. The approach toward a patient with leech infestation comprises a thorough history and systematic examination followed by relevant investigation. Leech infestation in the nasal cavity can cause a recurrent epistaxis, because there is a hirudin, a pure anticoagulant within the salivary gland. Till date, only few cases have been reported, but in a tropical region, leech infestation should also be considered an important cause for recurrent epistaxis. Epistaxis caused by leech infestation sometimes difficult to diagnosed and managed through anterior rhinoscopy, so that the endoscopic evaluation of the nose could be helpful. Here was presented a case of leech infestation in the nasal cavity of a 40 years old man which caused a recurrent epistaxis. Key word: Leech infestation, recurrent epistaxis, hirudin

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