Severe anaemia and death due to the pharyngeal leech Myxobdella africana
Six cases of pharyngeal leech (identified as Myxobdella africana) are reported from a highland area of North Kenya. Three patients were severely anaemic and one died. There have been sporadic reports of leech infestation of man in East and Central Africa but these reports lack correct identification...
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| Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 1986, Vol.80 (6), p.940-944 |
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| container_title | Transactions of the Royal Society of Tropical Medicine and Hygiene |
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| creator | Cundall, David B. Whitehead, Stephen M. Hechtel, F.O.P. |
| description | Six cases of pharyngeal leech (identified as
Myxobdella africana) are reported from a highland area of North Kenya. Three patients were severely anaemic and one died. There have been sporadic reports of leech infestation of man in East and Central Africa but these reports lack correct identification of the leech. This paper includes a detailed account of the systematics of the leech and of its habitat. The leeches were ingested accidentally by drinking water from two infested water sources. The major symptoms were a feeling of something in the throat, epistaxis and haemoptysis. On examination, pharyngeal blood was a consistent feature although the leech was rarely seen on initial inspection. Examination under anaesthesia was usually successful in locating and removing the leech. Prompt blood transfusion was life-saving in two cases. The water sources were used by both cattle and man; the cattle may also be parasitized by leeches. Methods of improving the water sources were discussed with community leaders. |
| doi_str_mv | 10.1016/0035-9203(86)90265-8 |
| format | Article |
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Myxobdella africana) are reported from a highland area of North Kenya. Three patients were severely anaemic and one died. There have been sporadic reports of leech infestation of man in East and Central Africa but these reports lack correct identification of the leech. This paper includes a detailed account of the systematics of the leech and of its habitat. The leeches were ingested accidentally by drinking water from two infested water sources. The major symptoms were a feeling of something in the throat, epistaxis and haemoptysis. On examination, pharyngeal blood was a consistent feature although the leech was rarely seen on initial inspection. Examination under anaesthesia was usually successful in locating and removing the leech. Prompt blood transfusion was life-saving in two cases. The water sources were used by both cattle and man; the cattle may also be parasitized by leeches. Methods of improving the water sources were discussed with community leaders.</description><identifier>ISSN: 0035-9203</identifier><identifier>EISSN: 1878-3503</identifier><identifier>DOI: 10.1016/0035-9203(86)90265-8</identifier><identifier>PMID: 3603642</identifier><identifier>CODEN: TRSTAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Anemia - etiology ; Anemia - parasitology ; Biological and medical sciences ; Female ; Humans ; Infant ; Infectious diseases ; Kenya ; Leeches - anatomy & histology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Parasitic diseases ; Parasitic Diseases - etiology ; Parasitic Diseases - mortality ; Pharyngeal Diseases - etiology ; Pharyngeal Diseases - parasitology ; Pneumology ; Respiratory system : syndromes and miscellaneous diseases ; Tropical medicine</subject><ispartof>Transactions of the Royal Society of Tropical Medicine and Hygiene, 1986, Vol.80 (6), p.940-944</ispartof><rights>1986</rights><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-ea673896cdfdbbbe3fc7e39232f84177aff900f2de0e62b4ffd73153560c4a443</citedby><cites>FETCH-LOGICAL-c424t-ea673896cdfdbbbe3fc7e39232f84177aff900f2de0e62b4ffd73153560c4a443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8070429$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3603642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cundall, David B.</creatorcontrib><creatorcontrib>Whitehead, Stephen M.</creatorcontrib><creatorcontrib>Hechtel, F.O.P.</creatorcontrib><title>Severe anaemia and death due to the pharyngeal leech Myxobdella africana</title><title>Transactions of the Royal Society of Tropical Medicine and Hygiene</title><addtitle>Trans R Soc Trop Med Hyg</addtitle><description>Six cases of pharyngeal leech (identified as
Myxobdella africana) are reported from a highland area of North Kenya. Three patients were severely anaemic and one died. There have been sporadic reports of leech infestation of man in East and Central Africa but these reports lack correct identification of the leech. This paper includes a detailed account of the systematics of the leech and of its habitat. The leeches were ingested accidentally by drinking water from two infested water sources. The major symptoms were a feeling of something in the throat, epistaxis and haemoptysis. On examination, pharyngeal blood was a consistent feature although the leech was rarely seen on initial inspection. Examination under anaesthesia was usually successful in locating and removing the leech. Prompt blood transfusion was life-saving in two cases. The water sources were used by both cattle and man; the cattle may also be parasitized by leeches. Methods of improving the water sources were discussed with community leaders.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anemia - etiology</subject><subject>Anemia - parasitology</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Kenya</subject><subject>Leeches - anatomy & histology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Parasitic diseases</subject><subject>Parasitic Diseases - etiology</subject><subject>Parasitic Diseases - mortality</subject><subject>Pharyngeal Diseases - etiology</subject><subject>Pharyngeal Diseases - parasitology</subject><subject>Pneumology</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Tropical medicine</subject><issn>0035-9203</issn><issn>1878-3503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1v1DAQhi1EVZbCPwApB4TgkDLxdy6VUKHdSkUcgAr1Yjn2mDVkk8XOVu2_x2FXe-xpDu_zjscPIa8aOG2gkR8AmKhbCuydlu9boFLU-glZNFrpmglgT8nigDwjz3P-DUBFI9pjcswkMMnpgiy_4R0mrOxgcR1tmb7yaKdV5bdYTWM1rbDarGx6GH6h7ase0a2qLw_3Y-ex70shpOhK-wU5CrbP-HI_T8iPi8_fz5f19dfLq_OP17XjlE81WqmYbqXzwXddhyw4hayljAbNG6VsCC1AoB4BJe14CF6xRjAhwXHLOTshb3d7N2n8u8U8mXXMbj5lwHGbjVKsLBNtAfkOdGnMOWEwmxTX5SOmATMLNLMdM9sxWpr_Ao0utdf7_dtujf5Q2hsr-Zt9brOzfUh2cDEfMA0KOJ1fr3dYzBPeH2Kb_pgiQAmz_Hlr2ktxcXP7SZibwp_teCzu7iImk13EwaGPCd1k_Bgfv_sfeUOazA</recordid><startdate>1986</startdate><enddate>1986</enddate><creator>Cundall, David B.</creator><creator>Whitehead, Stephen M.</creator><creator>Hechtel, F.O.P.</creator><general>Elsevier Ltd</general><general>Royal Society of Tropical Medicine and Hygiene</general><general>Elsevier</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1986</creationdate><title>Severe anaemia and death due to the pharyngeal leech Myxobdella africana</title><author>Cundall, David B. ; Whitehead, Stephen M. ; Hechtel, F.O.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-ea673896cdfdbbbe3fc7e39232f84177aff900f2de0e62b4ffd73153560c4a443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anemia - etiology</topic><topic>Anemia - parasitology</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Kenya</topic><topic>Leeches - anatomy & histology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Parasitic diseases</topic><topic>Parasitic Diseases - etiology</topic><topic>Parasitic Diseases - mortality</topic><topic>Pharyngeal Diseases - etiology</topic><topic>Pharyngeal Diseases - parasitology</topic><topic>Pneumology</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cundall, David B.</creatorcontrib><creatorcontrib>Whitehead, Stephen M.</creatorcontrib><creatorcontrib>Hechtel, F.O.P.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cundall, David B.</au><au>Whitehead, Stephen M.</au><au>Hechtel, F.O.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe anaemia and death due to the pharyngeal leech Myxobdella africana</atitle><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><date>1986</date><risdate>1986</risdate><volume>80</volume><issue>6</issue><spage>940</spage><epage>944</epage><pages>940-944</pages><issn>0035-9203</issn><eissn>1878-3503</eissn><coden>TRSTAZ</coden><abstract>Six cases of pharyngeal leech (identified as
Myxobdella africana) are reported from a highland area of North Kenya. Three patients were severely anaemic and one died. There have been sporadic reports of leech infestation of man in East and Central Africa but these reports lack correct identification of the leech. This paper includes a detailed account of the systematics of the leech and of its habitat. The leeches were ingested accidentally by drinking water from two infested water sources. The major symptoms were a feeling of something in the throat, epistaxis and haemoptysis. On examination, pharyngeal blood was a consistent feature although the leech was rarely seen on initial inspection. Examination under anaesthesia was usually successful in locating and removing the leech. Prompt blood transfusion was life-saving in two cases. The water sources were used by both cattle and man; the cattle may also be parasitized by leeches. Methods of improving the water sources were discussed with community leaders.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>3603642</pmid><doi>10.1016/0035-9203(86)90265-8</doi><tpages>5</tpages></addata></record> |
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| ispartof | Transactions of the Royal Society of Tropical Medicine and Hygiene, 1986, Vol.80 (6), p.940-944 |
| issn | 0035-9203 1878-3503 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Anemia - etiology Anemia - parasitology Biological and medical sciences Female Humans Infant Infectious diseases Kenya Leeches - anatomy & histology Male Medical sciences Middle Aged Miscellaneous Parasitic diseases Parasitic Diseases - etiology Parasitic Diseases - mortality Pharyngeal Diseases - etiology Pharyngeal Diseases - parasitology Pneumology Respiratory system : syndromes and miscellaneous diseases Tropical medicine |
| title | Severe anaemia and death due to the pharyngeal leech Myxobdella africana |
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