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An unusual cause of unilateral epistaxis: a leech in the nose

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dc.contributor.authorYaşar, Murat
dc.contributor.authorAtalay, Fatma
dc.date.accessioned2026-01-05T23:15:49Z
dc.date.issued2025-01-01
dc.description.abstractABSTRACT Leeches are segmental worms commonly found in fresh water in tropical regions. They can enter the human body via the consumption of contaminated water or through the mouth and nose during washing, generally affecting the upper airway and digestive tract. During the blood-sucking process, the leech releases the anticoagulant enzyme “hirudin” from the wound site into the host’s circulation together with an anesthetic to prevent the host from feeling its attachment. Leech endoparasitism is a very rare cause of epistaxis. We report a case of a living leech lodged in the posterior nasal floor in a patient that presented to the emergency department with unilateral epistaxis and a difficult diagnosis.
dc.description.urihttps://doi.org/10.1590/s1678-9946202567012
dc.description.urihttps://pubmed.ncbi.nlm.nih.gov/39969031
dc.description.urihttp://dx.doi.org/10.1590/S1678-9946202567012
dc.identifier.doi10.1590/s1678-9946202567012
dc.identifier.eissn1678-9946
dc.identifier.openairedoi_dedup___::98f938162ddef976cb3c91c0146f2c26
dc.identifier.orcid0000-0003-3300-4430
dc.identifier.orcid0000-0002-0344-1982
dc.identifier.pubmed39969031
dc.identifier.scopus2-s2.0-85219137584
dc.identifier.urihttps://hdl.handle.net/20.500.12597/43677
dc.identifier.volume67
dc.identifier.wos001428469200002
dc.publisherFapUNIFESP (SciELO)
dc.relation.ispartofRevista do Instituto de Medicina Tropical de São Paulo
dc.rightsOPEN
dc.subjectMale
dc.subjectEpistaxis
dc.subjectLeeches
dc.subjectParasitic Diseases
dc.subjectAnimals
dc.subjectHumans
dc.subjectCase Report
dc.subjectFemale
dc.subjectNose
dc.subjectForeign Bodies
dc.titleAn unusual cause of unilateral epistaxis: a leech in the nose
dc.typeArticle
dspace.entity.typePublication
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