Rahimi-Rad Mohammad Hossein, Alizadeh Effat, Samarei Reza
Respiratory Medicine Division of Department of Medicine, Urmia University of Medical Sciences, Urmia, West Azerbaijan, Iran.
Pneumologia. 2011 Apr-Jun;60(2):85-6.
This paper presents a 73 years old male with three weeks history of intermittent hemoptysis, dysphagia, dyspnea, stridor, and suffocations sensation. By means of fibrotic bronchoscopic examination, the cause was found to be a leech in the glottis. It was removed by injection of 4 ml lidocaine 2%. Infestation into the respiratory tract by a leech may become lethal because of hypoxia and death secondary to airway obstruction. A high index of suspicion of leech infestation sould be considered in patients presenting with hemoptysis, hoarseness and respiratory distress and a history of recent contact with fresh water streams.
本文报告了一名73岁男性，有三周间歇性咯血、吞咽困难、呼吸困难、喘鸣和窒息感病史。通过纤维支气管镜检查，发现病因是声门处有一只水蛭。通过注射4毫升2%利多卡因将其取出。水蛭侵入呼吸道可能因缺氧和气道阻塞继发死亡而致命。对于出现咯血、声音嘶哑和呼吸窘迫且近期有接触淡水溪流史的患者，应高度怀疑水蛭感染。
