Sidhu Maham R, Hassan Muhammad A, Rafique Mubashir, Ghani Faryal
Cardiology, Glenfield Hospital, Leicester, GBR.
General Surgery, Rawalpindi Medical University, Rawalpindi, PAK.
Cureus. 2025 Jul 9;17(7):e87587. doi: 10.7759/cureus.87587. eCollection 2025 Jul.
We report a case of a 36-year-old male who presented with a complaint of blood-stained sputum for 15 days. The patient gave a history of drinking from a contaminated pool. On examination, there were blood streaks on the posterior pharyngeal wall. The patient's vital and baseline blood investigations were within normal limits. On direct laryngoscopy under general anesthesia, a greenish-black foreign body was found moving in the oropharynx and was taken out by heated Magill forceps. It was identified as a leech. Through this case, we emphasize the need for well-set diagnostic criteria that can not only enhance the reporting of such cases but can also be used as a surveillance tool by the public health authorities.
我们报告一例36岁男性病例，该患者主诉痰中带血15天。患者有饮用受污染池塘水的病史。检查发现，咽后壁有血丝。患者的生命体征和基础血液检查均在正常范围内。在全身麻醉下进行直接喉镜检查时，发现口咽中有一个绿黑色异物在移动，并用加热的麦吉尔钳将其取出。经鉴定为水蛭。通过这个病例，我们强调需要制定完善的诊断标准，这不仅可以加强对此类病例的报告，还可以作为公共卫生当局的监测工具。
