Mohd Shakri Nadhirah, Esa Mimi Ezreena
Otolaryngology - Head and Neck Surgery, Hospital Tengku Ampuan Rahimah, Klang, MYS.
Cureus. 2023 Jan 30;15(1):e34417. doi: 10.7759/cureus.34417. eCollection 2023 Jan.
Nasal leech infestation is a rare etiology of epistaxis. Due to its insidious presentation and inconspicuous site of infestation, it is possible for the primary care setting to miss the diagnosis. We report a case of nasal leech infestation in an eight-year-old male child who was repeatedly treated for upper respiratory infection before finally being referred to the otorhinolaryngology clinic. We emphasize the importance of having a high index of suspicion and thorough history taking, especially of jungle trekking and hill water exposure in unexplained recurrent epistaxis.
鼻水蛭寄生是鼻出血的一种罕见病因。由于其隐匿的表现和不显眼的寄生部位，基层医疗单位有可能漏诊。我们报告一例8岁男童鼻水蛭寄生病例，该患儿此前因上呼吸道感染反复接受治疗，最终转诊至耳鼻喉科门诊。我们强调对于不明原因的反复鼻出血，尤其是有丛林徒步旅行和接触山间水源史的患者，保持高度怀疑和进行全面病史采集的重要性。
