Pediatric Vulvar Bleeding due to Leech Infestation: A Case Report
AbstractLeech infestation most frequently occurs in upper body cavities of children including pharynx, nose and esophagus and, more rarely, the vagina and vulva. Here we describe a 6-yr-old girl with vulvar bleeding caused by leech infestation that referred to the Emergency unit of the Booali Sina Hospital in Sari, Iran in Sep 2015. She had a history of swimming in a pond prior to the occurrence. The leech infestation particularly vulvar involvement among young girls is extremely rare and yet neglected event in the world.
White GB. Leeches and leech infestation. In: Cook GC, editor. Manson's Tropical Diseases. 20th ed. London: Saunders; 1998. pp. 1523–5.
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.
Saha PK, Roy S, Bhattacharya D, Mukherjee P, Naskar T, Bhuiya A. Leech bite: a rare gynecologic emergency. Med Gen Med. 2005;7(4): 73.
Karunaratne AH , Wijerathne BT , Wickramasinghe RS , Wijesinghe AK , Liyanage AS .
A rare case of vaginal bleeding in a child due to a leech bite and review of the literature.
Wilderness Environ Med. 2015; 26(4):579-84.