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一名15岁女性的支气管水蛭感染

Bronchial Leech Infestation in a 15-Year-Old Female.

作者信息

Moslehi Mohammad Ashkan, Imanieh Mohammad Hadi, Adib Ali

机构信息

Pediatric Pulmonology Division, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pediatric Gastroenterology, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Case Rep Pediatr. 2016;2016:2372686. doi: 10.1155/2016/2372686. Epub 2016 Sep 26.

Abstract

Foreign body aspiration (FBA) is a common incidence in young children. Leeches are rarely reported as FBA at any age. This study describes a 15-year-old female who presented with hemoptysis, hematemesis, coughs, melena, and anemia seven months prior to admission. Chest X-ray showed a round hyperdensity in the right lower lobe. A chest computed tomography (CT) demonstrated an area of consolidation and surrounding ground glass opacities in the right lower lobe. Hematological investigations revealed anemia. Finally, bronchoscopy was performed and a 5 cm leech was found within the right B bronchus and removed by forceps and a Dormia basket.

摘要

异物吸入(FBA)在幼儿中是一种常见的病症。水蛭作为异物吸入在任何年龄段都鲜有报道。本研究描述了一名15岁女性,她在入院前七个月出现咯血、呕血、咳嗽、黑便和贫血症状。胸部X线显示右下叶有圆形高密度影。胸部计算机断层扫描(CT)显示右下叶有实变区域及周围磨玻璃样混浊。血液学检查显示贫血。最后进行了支气管镜检查,在右B支气管内发现一条5厘米长的水蛭,并用镊子和多尔米亚篮将其取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb97/5056300/458c214ad29a/CRIPE2016-2372686.001.jpg

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