One leech was found attachedto the right-side cheek and tongue (Fig. Rectal examination manifested noabnormal signs and the fetus palpated and was alive.The mouth of the cow was fully opened, and the mouthcavity was fully explored. Examination of the case showed increasingrespiratory rates, bleeding from the mouth, and reluctanceto walk.The temperature, heart rate, and respiratory rate wereincreased slowly. The case had no background of anydisorder. The history of the case revealed that the mainfeed of the cow had been hay and grazing in pasture, andfor drinking water, a stream and sump were used 48 hprevious to the time of referral the cow displayed severediscomfort, with little appetite, abnormal breathing, andrespiratory sounds. In this study,a 3-year-old pregnant cow referred to a private clinic in theDehloran suburbs in Iran with acute respiratory distress andinappetite.Case reportA 3-year-old pregnant cow referred to a private clinic in theDehloran suburbs in Iran with acute respiratory distress andinappetite. In some reports in human beings, leeches as aforeign body and parasite in the respiratory tract havebeen reported, and in animals, leeches infesting the nasalcavity were reported in one camel in Iraq (Al-Ani andAl-Shareefi1995 Cheikh-Rouhou et al. Hirudiniasis is not common in animal and human,but sporadic reports of leech infestations in humans andanimals are available from the Middle East and adjoiningcountries. The main symptoms includehaemoptysis, snoring, dyspnea, cough, dysphagia, andbleeding from the vagina (Bani Ismail et al. Theseleeches live in hosts and can cause anemia and may act asvectors of animal pathogens. This species is commonlyfound existing in Southern Europe, North Africa, and theMiddle East including Iran (Bahmani et al. The strong jaws and muscularsuckers at the anterior and posterior ends of L. The Limnatis niloticaspecies is a blood-sucking parasite that lives in stagnantwater in ponds and lakes. The leeches mainlyinhabit in ponds, lakes, and streams. They vary in color, length and shape, and may beblack, brightly colored, or mottled. IntroductionLeeches, a hermaphroditic, blood-sucking parasite arerarely reported in humans and animals as a cause of manyproblems. We preferred to present this case, because laryngeal leech is a rare cause of haemoptysis and its removal process was extraordinary. Hirudina medicina can live in spring water and infect people while washing mouth with contaminated spring water. It was identified as hirudina medicina (medical leech). The foreign body was consulted by parasitology department. Bronchoscopy, which was performed after the removing process, was normal. The 5 cm long black-green colored alive foreign body was removed out by suspension laryn-goscopy. In order to eliminate an upper airway disease ear-nose-throat specialist consultation was carried out, and surprisingly, a black-green colored alive foreign body which extremely obstructed rima glottis at larynx was observed by indirect laryngoscopy. Arterial blood gas analysis revealed mild hypoxia. Routine haemogram and biochemical analysis of blood were normal. Thoracic CT revealed sequel fibrotic changes at bilateral apical regions and emphysematous areas more prominent at bilateral upper lobes. Chest X-ray showed linear fibrotic heterogeneous density at bilateral upper zones. On his physical examination stridor was heard and bilateral reduction of breathing sounds was found. After our insistent questioning, he remembered that the symptoms had begun after washing his mouth and face with spring water. He told that the symptoms had begun suddenly five days ago. A 77 years old male patient admitted to our hospital with complaints of mild bleeding with sputum and hoarseness of voice.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |