背景:水蛭是一类雌雄同体的寄生虫,可以附着在各个身体部位并开始吸血。由于水蛭引起的胃肠道(GI)出血是一种罕见的现象,在欠发达国家更为常见。常见症状包括黑便,呕血,苍白,弱点,和疲劳。由于此问题的症状与儿科胃肠道出血的主要鉴别诊断相似,比如腹泻,便秘,憩室炎,食管炎,和肛裂,将其与其他产品区分开来是具有挑战性的。
方法:我们介绍了一个三岁的男孩,他因呕血被转移到我们中心,塔里凳子,血红蛋白水平下降。他终于被诊断出胃里有水蛭。
结论:在欠发达县,无法获得安全的饮用水,在湖泊或泉水中游泳,个人对公共卫生信息的认识不足可能是水蛭感染的危险因素。
Leeches are a class of hermaphroditic parasites that can attach to various body parts and start sucking blood. Gastrointestinal (GI) bleeding due to leeches is a rare phenomenon that is more common in less developed countries. Common symptoms include melena,
hematemesis, pallor, weakness, and fatigue. Due to the similar symptoms of this issue to the main differential diagnoses of GI bleeding in pediatrics, such as diarrhea, constipation, diverticulitis, esophagitis, and anal fissures, it is challenging to differentiate it from the rest.
We present a three-year-old boy who was transferred to our center with
hematemesis, tarry stool, and a drop in hemoglobin level. He finally was diagnosed with a leech in his stomach.
In less developed counties, the inability to reach safe drinking water, swim in lakes or springs, and inadequate awareness of public health information among individuals can be risk factors for leech infestation.