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Journal of Tropical Pediatrics Advance Access originally published online on March 5, 2009
Journal of Tropical Pediatrics 2009 55(5):338-339; doi:10.1093/tropej/fmp015
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Reports

An Unusual Cause of Gastrointestinal Bleeding and Severe Anemia in a Child: Leech Infestation

Mustafa Taskesen, Selahattin Katar and Hülya Basçik

Department of Pediatrics, Dicle University Faculty of Medicine, Diyarbakir, Turkey

Correspondence: Dr Mustafa Taskesen, Dicle Universitesi Tip Fakultesi, Cocuk Sagligi ve Hastaliklari AD, 21280, Diyarbakir, Turkey. Tel.: +90.412.2488012; Fax: +90.412.2488440. E-mail: <mtaskesen{at}dicle.edu.tr>.


   Abstract

A 1-year-old boy with epistaxis, gastrointestinal bleeding and severe anemia that caused cardiorespiratory distress presented to our unit. The results of coagulation tests were normal. An erythrocyte suspension transfusion was given to the patient. On the second day of his hospitalization, a leech was removed from his nose. In developing countries, leech infestation should be considered in cases where epistaxis, hematemesis, gastrointestinal bleeding and severe anemia are of unknown origin.

Key Words: Leech infestation • gastrointestinal bleeding • anemia • child


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