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It presents with recurrent epistaxis due to hirudin released by the leech while other symptoms are infinitesimal owing to an analgesic enzyme secreted. A thorough history-taking and examination is of utmost importance as respiratory complications may arise if the leech invades the airways. We present a case series of five patients, within a period of three years.<\/jats:p>","DOI":"10.1177\/00494755221132875","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T03:09:37Z","timestamp":1666148977000},"page":"151-153","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Nasal leeches and epistaxis: A case series"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4290-1689","authenticated-orcid":false,"given":"Kriti","family":"Bhujel","sequence":"first","affiliation":[{"name":"Department of ENT, SMIMS, Tadong, Gangtok, Sikkim, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Singh","sequence":"additional","affiliation":[{"name":"Junior resident (post-grad), Department of ENT, SMIMS, Tadong, Gangtok, Sikkim, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Kumar","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of ENT, Prasad Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari Shankar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Professor and Head of department, Department of ENT, SMIMS, Tadong, Gangtok, Sikkim, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepshikha","family":"Mishra","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of ENT, Patna Medical College and Hospital, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5480-5707","authenticated-orcid":false,"given":"Sylveena","family":"Moshahary","sequence":"additional","affiliation":[{"name":"Department of ENT, SMIMS. 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