Bijou Walid, Laababsi Rabii, Lekhbal Adil, Oukessou Youssef, Rouadi Sami, Abada Reda, Roubal Mohamed, Mahtar Mohamed
ENT Department, Face and Neck Surgery, Hospital August, 20'1953, University Hospital Center IBN ROCHD, Casablanca, Morocco.
Ann Med Surg (Lond). 2020 Nov 28;60:631-633. doi: 10.1016/j.amsu.2020.11.072. eCollection 2020 Dec.
This paper presents the case of a 5-year-old child who presented with an 15-day history of a swelling over the palatal region and blood stained saliva. Intraoral examination showed dark red circular mass rising from the hard palate. Diagnosis of mucosal hirudiniasis have been made. The parasite has been extracted under local anesthesia using a blunt forceps, it has been identified as an adult Limnatis nilotica. Leech endoparasitism must be suspected in case of bleed from throat, dysphagia or any other related symptom, especially in pediatric patients who have been exposed to freshwater. Prevention remains the best medicine.
本文介绍了一名5岁儿童的病例，该儿童腭部肿胀并伴有血性唾液，病程15天。口腔检查发现硬腭有暗红色圆形肿物。诊断为黏膜水蛭病。在局部麻醉下用钝头镊子取出了寄生虫，经鉴定为成年尼罗沼蛭。如果出现咽喉出血、吞咽困难或任何其他相关症状，尤其是有接触淡水史的儿科患者，必须怀疑存在水蛭体内寄生。预防是最好的办法。
