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Unilateral epistaxis after swimming in a stream.
Hong Kong Med J. 2005 Apr; 11(2):110-2.HK

Abstract

A 55-year-old Chinese woman presented with a 3-week history of unilateral left-sided epistaxis and nasal obstruction. She had swam in a freshwater stream 1 month prior to the onset of symptoms. Endoscopic examination revealed a live leech at the left middle meatus with a large part of its body inside the left maxillary antrum. Local anaesthetic was applied to anaesthetise the leech and facilitate removal. Magnetic resonance imaging performed following removal confirmed that no other leeches were present in the sinonasal area. The endoparasitism might have persisted because of the inconspicuous site of infestation and the absence of pain. This form of leech infestation has not been previously reported.

Authors+Show Affiliations

Division of Otorhinolaryngology, Department of Surgery, University of Hong Kong, Queen Mary Hospital, Pokfulam Road, Hong Kong. ckchow@hkucc.hku.hkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15815064

Citation

Chow, C K., et al. "Unilateral Epistaxis After Swimming in a Stream." Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, vol. 11, no. 2, 2005, pp. 110-2.
Chow CK, Wong SS, Ho AC, et al. Unilateral epistaxis after swimming in a stream. Hong Kong Med J. 2005;11(2):110-2.
Chow, C. K., Wong, S. S., Ho, A. C., & Lau, S. K. (2005). Unilateral epistaxis after swimming in a stream. Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, 11(2), 110-2.
Chow CK, et al. Unilateral Epistaxis After Swimming in a Stream. Hong Kong Med J. 2005;11(2):110-2. PubMed PMID: 15815064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral epistaxis after swimming in a stream. AU - Chow,C K, AU - Wong,S S Y, AU - Ho,A C W, AU - Lau,S K P, PY - 2005/4/9/pubmed PY - 2005/7/13/medline PY - 2005/4/9/entrez SP - 110 EP - 2 JF - Hong Kong medical journal = Xianggang yi xue za zhi JO - Hong Kong Med J VL - 11 IS - 2 N2 - A 55-year-old Chinese woman presented with a 3-week history of unilateral left-sided epistaxis and nasal obstruction. She had swam in a freshwater stream 1 month prior to the onset of symptoms. Endoscopic examination revealed a live leech at the left middle meatus with a large part of its body inside the left maxillary antrum. Local anaesthetic was applied to anaesthetise the leech and facilitate removal. Magnetic resonance imaging performed following removal confirmed that no other leeches were present in the sinonasal area. The endoparasitism might have persisted because of the inconspicuous site of infestation and the absence of pain. This form of leech infestation has not been previously reported. SN - 1024-2708 UR - https://www.unboundmedicine.com/medline/citation/15815064/Unilateral_epistaxis_after_swimming_in_a_stream_ L2 - http://www.hkmj.org/abstracts/v11n2/110.htm DB - PRIME DP - Unbound Medicine ER -