An Unusual Cause of Dysphonia with Hemoptysis: A Laryngeal Live Leech

Abstract

Introduction: Foreign bodies in the upper airway are one of the most challenging otolaryngology emergencies and have various presentations depending on their physical properties and location. Leeches are blood-sucking hermaphroditic worms that vary in color, length, and shape. They usually reside in fresh-water streams and lakes. When rural untreated water is drunk, leeches may localize in the nose, pharynx, and esophagus, or rarely in the larynx. Case Report: This case is a man who was referred to our otolaryngology clinic with a complaint of hemoptysis and mild respiratory distress. The patient's symptoms were all relieved post operatively and he was discharged on the second day following the procedure. <em> Conclusion:</em> Leeches should be suspected as an airway foreign body in patients with a recent history of drinking stream water. <em> </em>

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