Unilateral epistaxis after swimming in a stream.

  title={Unilateral epistaxis after swimming in a stream.},
  author={C K Chow and Samson S. Y. Wong and Ambrose C W Ho and Susanna K. P. Lau},
  journal={Hong Kong medical journal = Xianggang yi xue za zhi},
  volume={11 2},
A 55-year-old Chinese woman presented with a 3-week history of unilateral left-sided epistaxis and nasal obstruction. She had swam in a freshwater stream 1 month prior to the onset of symptoms. Endoscopic examination revealed a live leech at the left middle meatus with a large part of its body inside the left maxillary antrum. Local anaesthetic was applied… CONTINUE READING
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