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埃塞俄比亚患者因水蛭感染导致上消化道出血:病例系列及文献综述

Upper GI Bleeding Due to Leech Infestation in Ethiopian Patients: A Case Series and Review of Literature.

作者信息

Nur Abdulsemed Mohammed, Gorfu Zebeaman Tibebu

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Internal Medicine, Adera Medical Center, Addis Ababa, Ethiopia.

出版信息

Int Med Case Rep J. 2022 Nov 24;15:677-680. doi: 10.2147/IMCRJ.S381990. eCollection 2022.

DOI:10.2147/IMCRJ.S381990
PMID:36452264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9703901/
Abstract

Upper GI bleeding secondary to a live foreign body (leech) is a very rare condition, causing diagnostic and therapeutic challenges. Aquatic leeches could infest the upper gastrointestinal (GI) mucosa, resulting in bleeding and/or anemia. A history of contact with a contaminated water source is necessary to establish the diagnosis. We, herein, present two cases of upper GI bleeding caused by leech infestation and a technique for extraction of the leech.

摘要

活的异物(水蛭)继发上消化道出血是一种非常罕见的病症,会带来诊断和治疗方面的挑战。水生水蛭可能会寄生于上消化道黏膜,导致出血和/或贫血。确诊需要有接触受污染水源的病史。在此,我们报告两例因水蛭寄生引起的上消化道出血病例及一种水蛭取出技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12dd/9703901/b2fdd0a62fac/IMCRJ-15-677-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12dd/9703901/28b97111c446/IMCRJ-15-677-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12dd/9703901/b2fdd0a62fac/IMCRJ-15-677-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12dd/9703901/28b97111c446/IMCRJ-15-677-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12dd/9703901/b2fdd0a62fac/IMCRJ-15-677-g0002.jpg

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本文引用的文献

1
Pharmacological Activities and Mechanisms of Hirudin and Its Derivatives - A Review.水蛭素及其衍生物的药理活性与作用机制——综述
Front Pharmacol. 2021 Apr 16;12:660757. doi: 10.3389/fphar.2021.660757. eCollection 2021.
2
Leech in the Rectum Causing Lower GI Bleeding in a Four Years Old Child: A Case Report.直肠内蚂蟥致 4 岁儿童下消化道出血 1 例报告。
Ethiop J Health Sci. 2020 Nov;30(6):1055-1057. doi: 10.4314/ejhs.v30i6.27.
3
A Rare Case of Hemoptysis Caused by a Laryngeal Leech.喉蛭致咯血 1 例罕见报告
Ear Nose Throat J. 2023 May;102(5):NP249-NP251. doi: 10.1177/01455613211000804. Epub 2021 Mar 26.
4
A Case Report on Leech Infestation as a Cause of Severe Anemia in a 10-Month-Old Infant in Ethiopia.埃塞俄比亚一名10个月大婴儿因水蛭寄生导致严重贫血的病例报告。
Int Med Case Rep J. 2021 Feb 18;14:111-114. doi: 10.2147/IMCRJ.S292226. eCollection 2021.
5
Epidemiology of gastroesophageal reflux disease in Iran: a systematic review and meta-analysis.伊朗胃食管反流病的流行病学:一项系统评价与荟萃分析。
BMC Gastroenterol. 2020 Sep 14;20(1):297. doi: 10.1186/s12876-020-01417-6.
6
Management of Upper Airway Leech Infestations.上呼吸道水蛭感染的处理。
Ear Nose Throat J. 2020 Dec;99(10):NP126-NP128. doi: 10.1177/0145561319860527. Epub 2019 Jul 2.
7
Unusual vaginal bleeding due to a leech bite in a girl from a tropical area: A case report.热带地区一名女孩因水蛭叮咬导致异常阴道出血:病例报告
Rev Soc Bras Med Trop. 2019 Apr 11;52:e20180425. doi: 10.1590/0037-8682-0425-2018.
8
Intermittent gastrointestinal bleeding in a child: leech infestation.儿童间歇性胃肠道出血:水蛭寄生
Iran J Pediatr. 2012 Dec;22(4):572-3.
9
Nasal leech infestation causing persistent epistaxis.鼻蛭感染导致持续性鼻出血。
J Emerg Trauma Shock. 2011 Jul;4(3):413-4. doi: 10.4103/0974-2700.83875.
10
Rectal bleeding due to leech bite: a case report.水蛭叮咬致直肠出血:一例报告
Ulus Travma Acil Cerrahi Derg. 2011 Jan;17(1):83-6. doi: 10.5505/tjtes.2011.75318.