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    Though a common symptom, epistaxis should never be overlooked as the implications may be consequential. Nasal leech infestation represents an unusual etiology of recurrent epistaxis. The leeches release enzymes to anaesthetize the attachment site to facilitate the feeding process. Given the inconspicuous area of infestation and the absence of pain, there is often a delayed treatment. A detailed history taking and physical examination remain paramount in the assessment of recurrent epistaxis.


    Geng Ju Tuang, Athierah Muhammad, Farah Dayana Zahedi. An Unusual Cause of Recurrent Epistaxis: NASAL Leech Infestation. Ear, nose, & throat journal. 2021 Jan 04:145561320984561

    PMID: 33393821

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