ijcmcr International Journal of Clinical & Medical Case Reports 2834-250X International Journal of Clinical & Medical Case Reports Case Report Leeches: An Unsual Cause Of Epistaxis In The Children Sondos AL Rajab Resident physician in otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco Gliti Mohamed Ali Resident physician in otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco Bencheikh Razika Professor of otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco Benbouzid Mohamed Anas Professor of otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco Oujilal Abdelilah Professor of otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco Houssyni Leila Essakalli Professor of otolaryngology, Department of Otolaryngology, Head and Neck Surgery, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco 11 05 2023 5 3 11042023 05052023 © 2023 The Author(s). Published by International Journal of Clinical & Medical Case Reports. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0).

Epistaxis is one of the most common ear, nose and throat (ENT) emergencies to present to general practitioners. The leeche is an aquatic worm living in fresh water, especially in tropical areas. It may be found exceptionally in the upper aerodigestive tract (UADT) after consumption of spring water or water from natural wells, after swimming in still waters (lakes and dams), and caused epistaxis, hemoptesis, or laryngeal dyspnea, according to its localisation. We reported a case of 12 year old children presented to the emergency for 2 weeks epixtasis, due to swimming in still waters. The delay between infestation and onset of symptoms ranged from 15 days. Leeches were found in the oropharynx. The parasites were removed. The diagnosis should be made rapidly to prevent complications. Whatever the localization, removing the parasite is difficult. Evolution after treatment is rapidly favorable, with complete disappearance of symptoms.