Aquatic leech as a rare cause of respiratory distress and hemoptysis
Rahimi-Rad, M.H.; Alizadeh, E.; Samarei, R.
Pneumologia 60(2): 85-86
2011
ISSN/ISBN: 2067-2993 PMID: 21823359 Document Number: 652567
This paper presents a 73 years old male with three weeks history of intermittent hemoptysis, dysphagia, dyspnea, stridor, and suffocations sensation. By means of fibrotic bronchoscopic examination, the cause was found to be a leech in the glottis. It was removed by injection of 4 ml lidocaine 2%. Infestation into the respiratory tract by a leech may become lethal because of hypoxia and death secondary to airway obstruction. A high index of suspicion of leech infestation sould be considered in patients presenting with hemoptysis, hoarseness and respiratory distress and a history of recent contact with fresh water streams.