Getahun AM, Endayehu Y, Berhanu GD. A Case Report on Leech Infestation as a Cause of Severe Anemia in a 10-Month-Old Infant in Ethiopia.
Int Med Case Rep J 2021;
14:111-114. [PMID:
33633470 PMCID:
PMC7901558 DOI:
10.2147/imcrj.s292226]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Accepted: 02/10/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND
Leeches are blood sucking hermaphroditic parasites belonged to the phylum Annelida of the class Hirudinea. Based on the location of leech infestation, the patient may present with anemia and respiratory symptoms. Even though Leech infestation is mentioned as common problem in African countries and the common cause of anemia, especially in children but it is not mentioned as a cause of severe anemia in an infant.
CASE PRESENTATION
In this paper, we are reporting a 10 months old baby presented to Debre Tabor General Hospital with nasal bleeding and blood tingled vomiting of four days duration. With the diagnosis of severe anemia secondary to leech infestation, she was transfused with 360 mL of whole blood and the leech was removed from the oropharynx with McGill forceps. She was followed for 48 hours. There was no ongoing bleeding; the vital signs became stable, and then patient's parents were advised to boil drinking water before use. Finally, the infant discharged with improvement.
CONCLUSION AND RECOMMENDATION
We concluded that leech infestation should be included as the differential diagnosis of an infant presented with nasal bleeding and blood tingled vomiting who came from rural areas.
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