Evidence map›Paper›PMID 42277618›Full record

ArticleThe Journal of international medical research2026

Nasopharyngeal hirudiniasis, a rare cause of masked hemoptysis in an older patient: A case report.

Abd Albadee Abd Alkareem, Mohamad Alharbi, Ahmad Alabdlilrazzak, Abdalrhman Alras, Mohamad Munir Alibrahim

Abstract readCase Reports
In one paragraph

Article in The Journal of international medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Abd Albadee Abd AlkareemFaculty of Medicine, Hama University, Syria.
Mohamad AlharbiFaculty of Medicine, Hama University, Syria.ORCID 0009-0008-6720-766X
Ahmad AlabdlilrazzakFaculty of Medicine, Hama University, Syria.ORCID 0009-0003-6827-485X
Abdalrhman AlrasFaculty of Medicine, Hama University, Syria.ORCID 0009-0000-0216-8796
Mohamad Munir AlibrahimOtolaryngology (ENT) Department-Al-Salmuni Hospital, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leeches commonly inhabit freshwater environments and feed on blood; however, pharyngeal leech infestation in humans remains an unusual cause of hemoptysis that poses significant diagnostic challenges. We report the case of a male patient in his early 60s presenting with a 2-week history of persistent hemoptysis and pharyngeal discomfort. Physical examination revealed a transient, mobile structure behind the uvula that initially mimicked a blood clot. Flexible nasopharyngoscopy subsequently demonstrated a moving foreign body attached to the nasopharyngeal wall. The organism, identified as a 3-cm leech, was successfully removed using curved forceps without anesthesia, leading to immediate symptom resolution. This case underscores the necessity of considering parasitic infestation in the differential diagnosis of unexplained upper airway bleeding. It highlights the importance of obtaining a detailed environmental history regarding untreated freshwater exposure and utilizing endoscopy as a gold standard diagnostic tool.

Indexed as

Foreign BodiesHemoptysisLeechesNasopharynxAnimalsHumansMaleMiddle Agedforeign bodyhemoptysisleechNasopharyngeal hirudiniasisnasopharyngoscopy

Identifiers

PMID42277618
PMCPMC13260953

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.