Recurrent epistaxis: a diagnostic dilemma
Hirudiniasis is the term coined to indicate leech invasion into a body orifice or cavity. Here we present a case of epistaxis due to hirudiniasis. Removal of the leech is difficult as it is slippery and firmly attached to nasal mucosa by its sucker. Various innovative techniques have been used to re...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Stichting NASE
2019-11-01
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| Series: | Rhinology Online |
| Subjects: | |
| Online Access: | https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_57.pdf |
| _version_ | 1818450647979130880 |
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| author | Shenny Bhatia Vipan Gupta Deepika Sharma |
| author_facet | Shenny Bhatia Vipan Gupta Deepika Sharma |
| author_sort | Shenny Bhatia |
| collection | DOAJ |
| description | Hirudiniasis is the term coined to indicate leech invasion into a body orifice or cavity. Here we present a case of epistaxis due to hirudiniasis. Removal of the leech is difficult as it is slippery and firmly attached to nasal mucosa by its sucker. Various innovative techniques have been used to remove the leech as it has to be removed in total, because if a part of sucker is left behind it leads to persistent bleed and infection. This infestation is common in the tropics, Mediterranean countries, Africa and Asia. Clinicians in non leech areas might not be familiar with this condition. Advice should be given regarding lifestyle modification, particularly changes to how water is drunk, to prevent further infestation. This article is just a small attempt to familiarize doctors in the Indian subcontinent with this unique condition in cases of recurrent nasal bleed. |
| first_indexed | 2024-12-14T20:54:38Z |
| format | Article |
| id | doaj.art-f09984dd76084ff6b9d263dfd5639b38 |
| institution | Directory Open Access Journal |
| issn | 2589-5613 |
| language | English |
| last_indexed | 2024-12-14T20:54:38Z |
| publishDate | 2019-11-01 |
| publisher | Stichting NASE |
| record_format | Article |
| series | Rhinology Online |
| spelling | doaj.art-f09984dd76084ff6b9d263dfd5639b382022-12-21T22:47:43ZengStichting NASERhinology Online2589-56132019-11-01211211410.4193/RHINOL/19.008Recurrent epistaxis: a diagnostic dilemmaShenny Bhatia0Vipan Gupta1Deepika Sharma2Department of Otolayngology, Maharishi Markendeshwar Medical College and Hospital (MMMC&H), Solan, Himachal Pradesh, IndiaDepartment of Otolayngology, Maharishi Markendeshwar Medical College and Hospital (MMMC&H), Solan, Himachal Pradesh, IndiaDepartment of Otolayngology, Maharishi Markendeshwar Medical College and Hospital (MMMC&H), Solan, Himachal Pradesh, IndiaHirudiniasis is the term coined to indicate leech invasion into a body orifice or cavity. Here we present a case of epistaxis due to hirudiniasis. Removal of the leech is difficult as it is slippery and firmly attached to nasal mucosa by its sucker. Various innovative techniques have been used to remove the leech as it has to be removed in total, because if a part of sucker is left behind it leads to persistent bleed and infection. This infestation is common in the tropics, Mediterranean countries, Africa and Asia. Clinicians in non leech areas might not be familiar with this condition. Advice should be given regarding lifestyle modification, particularly changes to how water is drunk, to prevent further infestation. This article is just a small attempt to familiarize doctors in the Indian subcontinent with this unique condition in cases of recurrent nasal bleed.https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_57.pdfepistaxishirudiniasisleechnosenasal cavity |
| spellingShingle | Shenny Bhatia Vipan Gupta Deepika Sharma Recurrent epistaxis: a diagnostic dilemma Rhinology Online epistaxis hirudiniasis leech nose nasal cavity |
| title | Recurrent epistaxis: a diagnostic dilemma |
| title_full | Recurrent epistaxis: a diagnostic dilemma |
| title_fullStr | Recurrent epistaxis: a diagnostic dilemma |
| title_full_unstemmed | Recurrent epistaxis: a diagnostic dilemma |
| title_short | Recurrent epistaxis: a diagnostic dilemma |
| title_sort | recurrent epistaxis a diagnostic dilemma |
| topic | epistaxis hirudiniasis leech nose nasal cavity |
| url | https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_57.pdf |
| work_keys_str_mv | AT shennybhatia recurrentepistaxisadiagnosticdilemma AT vipangupta recurrentepistaxisadiagnosticdilemma AT deepikasharma recurrentepistaxisadiagnosticdilemma |