{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:11:48Z","timestamp":1767665508634},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2006,8,24]],"date-time":"2006-08-24T00:00:00Z","timestamp":1156377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background.<\/jats:title><jats:p>This is a case report about a rare hypopharyngeal foreign body causing dysphagia, dyspnea, and hemoptysis as well as melena: an ingested leech. The patient was in this condition for more than 1 week.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>The ingested leech, attached to the right piriform fossa partially obstructing the larynx, had to be removed under general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>After removal, no further symptoms occurred. The leech was identified as the species <jats:italic>Theromyzon tessulatum<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions.<\/jats:title><jats:p>Human infestation of a leech in the upper aerodigestive tract is a very rare condition in urban areas. The current literature is reviewed and the diagnostic approach as well as therapeutic options are discussed. \u00a9 2006 Wiley Periodicals, Inc. Head Neck, 2006<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.20471","type":"journal-article","created":{"date-parts":[[2006,8,24]],"date-time":"2006-08-24T22:58:01Z","timestamp":1156460281000},"page":"1046-1048","source":"Crossref","is-referenced-by-count":12,"title":["Rare living hypopharyngeal foreign body"],"prefix":"10.1002","volume":"28","author":[{"given":"Matthias","family":"Kuehnemund","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Bootz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,8,24]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"KeimA.Zur Wirtsspezifit\u00e4t von Blutegeln. Untersuchungen zum Parasitismus des Entenegels Theromyzon tessulatum (O F Mueller 1774) und des Medizinischen Blutegels Hirudo medicinalis Linnaeus 1758. Ph.D. Dissertation Universitaet Hohenheim 1979."},{"key":"e_1_2_5_3_2","first-page":"632","article-title":"Infestation of waterfowl with leeches","volume":"85","author":"Keymer JF","year":"1969","journal-title":"Vet Rec"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1242\/jeb.137.1.513"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10065"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2002.30626"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001904914"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(02)00041-1"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1969.00770030180017"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-5793(01)02212-8"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-004-1422-0"},{"key":"e_1_2_5_12_2","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1080\/02724936.1987.11748518","article-title":"Tails of the unexpectorated: experiences with leech infestation in childhood","volume":"7","author":"O'Dempsey TJ","year":"1987","journal-title":"Ann Trop Paediatr"},{"key":"e_1_2_5_13_2","first-page":"123","article-title":"Leeches in the respiratory system","volume":"54","author":"Gerlach A","year":"1975","journal-title":"Laryngol Rhinol Otol"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(86)90265-8"},{"key":"e_1_2_5_15_2","first-page":"327","article-title":"Medicinal leech in head and neck reconstruction","volume":"29","author":"Irish JC","year":"2000","journal-title":"J Otolaryngol"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2003.12.016"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/432010a"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.055"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(03)00058-9"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200005000-00044"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.20471","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.20471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T05:11:11Z","timestamp":1700025071000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.20471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,8,24]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2006,11]]}},"alternative-id":["10.1002\/hed.20471"],"URL":"https:\/\/doi.org\/10.1002\/hed.20471","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,8,24]]}}}