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Leech infestation in children through body orifices: experience in a hospital in Bangladesh.
World J Surg. 2012 Sep; 36(9):2090-2.WJ

Abstract

INTRODUCTION

Bangladesh harbors many leeches in its vast wetlands. Leeches have a tendency to enter through body orifices with potentially life-threatening consequences. Literature search revealed inadequate description of clinical manifestations and treatment of leech infestations in children. We describe our experience with leech infestations in children.

METHODS

Between January 1, 2004 and December 31, 2010, 17 cases of leech infestation through body orifices in children were managed. This is a retrospective study on age, sex, route of leech entry, investigation and treatment, and outcome.

RESULTS

Age ranged from 4.5 to 11 years (mean 6.4 ± 1.8) and females accounted for more than 70 %. The orifices of leech entry include urethra, vagina, and rectum. Leeches could be found in eight cases. Two boys with leeches in the urinary bladder needed suprapubic removal. Leeches were retrieved from the vagina under general anesthesia in three cases, and on three occasions leeches came out from the vagina after normal saline instillation. In nine cases with different routes of entry where leech was not found, instillation of normal saline was sufficient to stop bleeding. Fifteen cases presented with bleeding and transfusion was required in five cases with Hb% <7 gm/dl.

CONCLUSIONS

Leech infestation through lower body orifices is common in children of rural Bangladesh. Prompt diagnosis is of paramount importance, and application of normal saline is effective in most cases. Sometimes surgical intervention is required.

Authors+Show Affiliations

Pediatric Surgery, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh. boto_briksha@yahoo.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22543722

Citation

Hannan, Md Jafrul, and Md Mozammel Hoque. "Leech Infestation in Children Through Body Orifices: Experience in a Hospital in Bangladesh." World Journal of Surgery, vol. 36, no. 9, 2012, pp. 2090-2.
Hannan MJ, Hoque MM. Leech infestation in children through body orifices: experience in a hospital in Bangladesh. World J Surg. 2012;36(9):2090-2.
Hannan, M. J., & Hoque, M. M. (2012). Leech infestation in children through body orifices: experience in a hospital in Bangladesh. World Journal of Surgery, 36(9), 2090-2. https://doi.org/10.1007/s00268-012-1633-x
Hannan MJ, Hoque MM. Leech Infestation in Children Through Body Orifices: Experience in a Hospital in Bangladesh. World J Surg. 2012;36(9):2090-2. PubMed PMID: 22543722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leech infestation in children through body orifices: experience in a hospital in Bangladesh. AU - Hannan,Md Jafrul, AU - Hoque,Md Mozammel, PY - 2012/5/1/entrez PY - 2012/5/1/pubmed PY - 2012/12/18/medline SP - 2090 EP - 2 JF - World journal of surgery JO - World J Surg VL - 36 IS - 9 N2 - INTRODUCTION: Bangladesh harbors many leeches in its vast wetlands. Leeches have a tendency to enter through body orifices with potentially life-threatening consequences. Literature search revealed inadequate description of clinical manifestations and treatment of leech infestations in children. We describe our experience with leech infestations in children. METHODS: Between January 1, 2004 and December 31, 2010, 17 cases of leech infestation through body orifices in children were managed. This is a retrospective study on age, sex, route of leech entry, investigation and treatment, and outcome. RESULTS: Age ranged from 4.5 to 11 years (mean 6.4 ± 1.8) and females accounted for more than 70 %. The orifices of leech entry include urethra, vagina, and rectum. Leeches could be found in eight cases. Two boys with leeches in the urinary bladder needed suprapubic removal. Leeches were retrieved from the vagina under general anesthesia in three cases, and on three occasions leeches came out from the vagina after normal saline instillation. In nine cases with different routes of entry where leech was not found, instillation of normal saline was sufficient to stop bleeding. Fifteen cases presented with bleeding and transfusion was required in five cases with Hb% <7 gm/dl. CONCLUSIONS: Leech infestation through lower body orifices is common in children of rural Bangladesh. Prompt diagnosis is of paramount importance, and application of normal saline is effective in most cases. Sometimes surgical intervention is required. SN - 1432-2323 UR - https://www.unboundmedicine.com/medline/citation/22543722/Leech_infestation_in_children_through_body_orifices:_experience_in_a_hospital_in_Bangladesh_ L2 - https://dx.doi.org/10.1007/s00268-012-1633-x DB - PRIME DP - Unbound Medicine ER -