О "пользе" родниковой воды. ( 2 фото )

A previously healthy 38-year-old man presented to the otolaryngology clinic with a 10-day history of blood dripping from his right nostril at a rate of a few drops every hour, as well as production of blood-tinged mucus when he spat or coughed. He had no pain in his nose. Twenty days before presentation, he had gone mountain climbing and washed his face with spring water. Physical examination showed blood in the right nares. On nasal endoscopy, a leech that wriggled away from the light was seen in the right common nasal meatus. After the administration of topical tetracaine anesthesia, a suction catheter was used to remove the leech intact. The left nares had no abnormalities. Epistaxis in one nostril may result from foreign bodies, benign tumors, or nasopharyngeal carcinoma. Nasal leeches are an uncommon cause, for which swimming in stagnant water or washing with or drinking untreated natural water are risk factors. The patient had no adverse effects from the procedure and had no residual symptoms at the 1-week follow-up.
Wenke Wu, M.M. , and Jin Tan, Ph.D.
Published October 25, 2025
N Engl J Med 2025;393: e28
DOI: 10.1056/NEJMicm2509569
VOL. 393 NO.


Крепкого здоровья!