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Table 1 Characteristics of 11 included Case reports

From: Manifestation of leech infestation as severe gastrointestinal bleeding in a 3-year-old boy: a case report and review of the literature

Author, year

Age, gender

Country

Symptoms at presentation

Leech binding-location

Probable source

Hemoglobin (g/dl)

Endoscopy/Colonoscopy/Laryngoscopy report

Tilahun et al. 2020 [6]

4, Male

Ethiopia

Rectal bleeding, vomiting

Rectum

Small river near their house

NR

NR

Narayan et al. 2017 [13]

18, Male

India

Rectal bleeding, tenesmus

Rectum

Water logged field

4.96

presence of an ulcer of size 0.5 cm × 1 cm with hooklets and the head of leech attached at 10 cm from anal verge

Mamoudou et al. 2015 [14]

3, Male

Niger

Hematemesis, melena, epigastralgia

Behind the glottis

Drinking freshwater

5.15

endoscopic exploration revealed a normal-appearing mucosa

Kani et al. 2014 [12]

72, Male

Turkey

Hematemesis

Hypo-pharyngeal

Drinking water from an open trough

7.26

Several crater-type lesions located in oropharynx, tongue, esophagus, stomach

Koraichi et al. 2014 [8]

3, Female

Morocco

Melena, epistaxis

Nasopharynx

Drinking freshwater

4.34

Nasopharynx bleeding, small red mass in the pharynx.

Abuhandan et al. 2012 [15]

5, Male

Turkey

Epistaxis, hematemesis

Oropharynx

NR

4.59

NR

Rafeey et al. 2012 [16]

9, Male

Iran

Hematemesis, fever

Nasopharynx

Bathed in a pond

7.26

Endoscopy: normal, detected with ENT examination

Al et al. 2011 [9]

33, Male

Turkey

Rectal bleeding, anorectal discomfort

Rectum

Swimming in a contaminated pool

6.21

Dark brown, smooth foreign body just above the internal hemorrhoid swelling

Taskesen et al. 2009 [7]

1, Male

Turkey

Cough, coryza, epistaxis, hematemesis

Nose

Deep well near the family home

2.79

NR

Basu et al. 2004 [17]

4, Female

India

Rectal bleeding

Large bowel

NR

4.34

No active bleeding site was seen

Demirören et al. 2003 [5]

3, Male

Turkey

Exhaustion, pallor, hematemesis, melena

Oropharynx

Pool near the family home

1.86

NR

Raj et al. 2000 [18]

68, Female

Malaysia

Rectal bleeding, sensation of wanting to defecate

Rectum

NR

3.97

Fresh blood in the rectum and sigmoid colon

Iraqi et al. 1999 [19]

1.5, Male

Morocco

Hematemesis, dyspnea

Laryngopharyngeal

Bathed in fresh water

4.96

Nothing pathological in the digestive tract

Estambale et al. 1992 [20]

3, Male

Kenya

Cough, hematemesis, epistaxis

Not sure

NR

2.61

NR

el-Awad et al. 1990 [21]

10, Male

Saudi Arabia

Hematemesis, melena, epistaxis

Posterior pharyngeal wall

Bathed in ponds and sometimes drank water from them

Low

Did not show any abnormality

Singh et al. 1979 [22]

3, Male

Kabul

Cough, dyspnea, hematemesis

Not sure

Pond which is heavily infested with leeches

NR

NR

  1. NR not reported