Öz
Bu olguda kırsal alandan şehre taşınan su ve bu suyun arıtımsız içilmesi sonrası boğaz ağrısı, disfaji ve hemoptizi gibi bulgulara yol açan, orofarengeal bölgeye yapışan sülük infetasyonu ve tedavisi tartışıldı. Genel anestezi altında sülük forseps ile çıkartıldı. Orofarengeal bölgede sülük infetasyonu oldukça nadir olmasına rağmen özellikle sülük ile kontamine su içimi sonrası görülebilir. Gelişmekte olan ülkelerde orofarengeal kitlelerin ayırıcı tanısında ender olarak rastlansa da düşünülmelidir.
Anahtar Kelimeler
Kaynakça
- Lent, CM, Fliegner, KH, Freedman E, Dickonson MH. Ingestive behaviour and physiology of the medicinal leech. J Exp Biol 1988; 137: 513-27.
- Cundall DB, Whitehead SM, Hechtel FO. Severe anaemia and death due to the pharyngeal leech Myxobdella africana. Trans R Soc Trop Med Hyg 1986; 80: 940-4.
- Oghan F, Güvey A, Özkırış M, Gülcan E. Oropharyngeal leech infestation and therapeutic options. Turkiye Parazitol Derg 2010; 34: 200-2.
- White GB. Leeches and leech infestation. In: Cook G.C. (ed). Manson’s Tropical Diseases, 20th ed. Saunders, London, 1988; 1523-5.
- Montazeri F, Bedayat A, Jamali L, Salehian M, Montazeri G. Leech endoparasitism: report of a case and review of the literature. Eur J Pediatr 2009; 168: 39-42.
- Kuehnemund M, Bootz F. Rare living hypopharyngeal foreign body. Head Neck 2006; 28: 1046-8.
- Al B, Yenen ME, Aldemir M. Rectal bleeding due to leech bite: a case report. Ulus Travma Acil Cerrahi Derg 2011; 17: 83-6.
- Bulent A, Ilknur O, Beray S, Tulin C, Ulku T, Yildiz D. An unusual cause of hemoptysis in a child: live leech in the posterior pharynx. Trop Biomed 2010; 27: 208-10.
- Kruger C, Malleyeck I, Olsen OH. Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl. Eur J Pediatr 2004; 163: 297-9.
- Uygur K, Yasan H, Yavuz L, Dogru H. Removal of a laryngeal leech: a safe and effective method. Am J Otolaryngol 2003; 24: 338-43.
- Bilgen C, Karci B, Uluoz U. A nasopharyngeal mass: leech in the nasopharynx. Int. J Pediatr Otorhinolaryngol 2002; 64: 73
Öz
We report a case of a oropharyngeal leech infestation due to poor water supplies and sanitation, which may be presented with sore throat, dysphagia and hemoptisis and discussed treatment options. In our case, the leech was removed under general anesthesia. Even though oropharyngeal leech infestation is very rare, it may occur after drinking contaminated water. Leeches should be in the differential diagnosis for patients with oropharengeal masses in developing countries.
Anahtar Kelimeler
Kaynakça
- Lent, CM, Fliegner, KH, Freedman E, Dickonson MH. Ingestive behaviour and physiology of the medicinal leech. J Exp Biol 1988; 137: 513-27.
- Cundall DB, Whitehead SM, Hechtel FO. Severe anaemia and death due to the pharyngeal leech Myxobdella africana. Trans R Soc Trop Med Hyg 1986; 80: 940-4.
- Oghan F, Güvey A, Özkırış M, Gülcan E. Oropharyngeal leech infestation and therapeutic options. Turkiye Parazitol Derg 2010; 34: 200-2.
- White GB. Leeches and leech infestation. In: Cook G.C. (ed). Manson’s Tropical Diseases, 20th ed. Saunders, London, 1988; 1523-5.
- Montazeri F, Bedayat A, Jamali L, Salehian M, Montazeri G. Leech endoparasitism: report of a case and review of the literature. Eur J Pediatr 2009; 168: 39-42.
- Kuehnemund M, Bootz F. Rare living hypopharyngeal foreign body. Head Neck 2006; 28: 1046-8.
- Al B, Yenen ME, Aldemir M. Rectal bleeding due to leech bite: a case report. Ulus Travma Acil Cerrahi Derg 2011; 17: 83-6.
- Bulent A, Ilknur O, Beray S, Tulin C, Ulku T, Yildiz D. An unusual cause of hemoptysis in a child: live leech in the posterior pharynx. Trop Biomed 2010; 27: 208-10.
- Kruger C, Malleyeck I, Olsen OH. Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl. Eur J Pediatr 2004; 163: 297-9.
- Uygur K, Yasan H, Yavuz L, Dogru H. Removal of a laryngeal leech: a safe and effective method. Am J Otolaryngol 2003; 24: 338-43.
- Bilgen C, Karci B, Uluoz U. A nasopharyngeal mass: leech in the nasopharynx. Int. J Pediatr Otorhinolaryngol 2002; 64: 73
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 18 Sayı: 4 |