{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:23:39Z","timestamp":1776086619111,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2021,2,23]]},"abstract":"<jats:p>Though prepubertal vaginal bleeding is rare, it can create a dilemma for both physicians and parents. Prepubertal vaginal bleeding due to leech bite is even rarer and very difficult to diagnose without proper history. We report a case of a six-year-old girl presenting with vaginal bleeding and ultimately diagnosed as a case of vaginal bleeding due to leech bite. We described how focused history helped us in diagnosis and management of such case in rural areas with limited healthcare resources. A detailed history with a high index of suspicion and a thorough examination is essential to diagnose leech bite in the vagina.<\/jats:p>","DOI":"10.1155\/2021\/8896600","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T01:05:07Z","timestamp":1614128707000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["A Case Report on Prepubertal Vaginal Bleeding due to Leech Bite: History Is Very Important"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7851-8681","authenticated-orcid":true,"given":"S. M. Tajdit","family":"Rahman","sequence":"first","affiliation":[{"name":"UHC, Baliadangi, Thakurgaon, Bangladesh"},{"name":"National Institute of Diseases of the Chest & Hospital, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasnim","family":"Shahriar","sequence":"additional","affiliation":[{"name":"Khulna Medical College, Khulna, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adiba","family":"Tarannum","sequence":"additional","affiliation":[{"name":"Green Life Medical College, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md Abul","family":"Kasem","sequence":"additional","affiliation":[{"name":"UHC, Baliadangi, Thakurgaon, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasnuva","family":"Akter","sequence":"additional","affiliation":[{"name":"Bikrampur Bhuiyan Medical College, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"2","key":"1","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/S0889-8545(21)00220-5","article-title":"Vaginal bleeding in childhood and adolescence","volume":"17","author":"D. Muram","year":"1990","journal-title":"Obstetrics and Gynecology Clinics of North America"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2015.10.017"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2015.05.002"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1633-x"},{"key":"5","volume-title":"Introduction to Biology of Animals","author":"B. B. Ganguly","year":"1988"},{"issue":"4","key":"6","first-page":"73","article-title":"Leech bite: a rare gynecologic emergency","volume":"7","author":"P. K. Saha","year":"2005","journal-title":"Medscape General Medicine"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.87237.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v25i4.13"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006511"},{"issue":"3","key":"10","article-title":"Nasal leech- a rare cause of severe anemia","volume":"17","author":"S. Tahir","year":"2005","journal-title":"Journal of Ayub Medical College, Abbottabad"},{"key":"11","first-page":"47e9","article-title":"Leech infestation causing upper gastrointestinal bleeding","volume":"12","author":"I. Ghazzawi","year":"2005","journal-title":"JRMS"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.5152\/jaemcr.2014.181"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v25i4.13"},{"issue":"6","key":"14","first-page":"384","article-title":"Leech bite: a rare cause of postmenopausal vaginal bleeding","volume":"14","author":"M. H. Mofrad","year":"2012","journal-title":"Iranian Red Crescent Medical Journal"},{"issue":"1","key":"15","first-page":"208","article-title":"Vaginal bleeding in young children","volume":"34","author":"A. Aribarg","year":"2003","journal-title":"The Southeast Asian Journal of Tropical Medicine and Public Health"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2003.013847"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.86877"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.59.690.272"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/8896600.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/8896600.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2021\/8896600.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T19:25:14Z","timestamp":1671391514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2021\/8896600\/"}},"subtitle":[],"editor":[{"given":"Daniel","family":"Martin","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,2,23]]},"references-count":18,"alternative-id":["8896600","8896600"],"URL":"https:\/\/doi.org\/10.1155\/2021\/8896600","relation":{},"ISSN":["2090-6692","2090-6684"],"issn-type":[{"value":"2090-6692","type":"electronic"},{"value":"2090-6684","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2,23]]}}}