Seyed Abdul Ahad Wadoodi, Said Abdul Kabir Hawari, Mohammad Masudi, Ali Rahimi, Nasar Ahmad Shayan
Oropharyngeal leech infestation is rare. A 12-year-old Afghan girl developed recurrent epistaxis, dysphagia, throat irritation, and cough after drinking untreated stream water. Examination revealed an 8-cm leech attached to the posterior pharynx. Forceps removal immediately resolved symptoms. Leech infestation should be considered following freshwater exposure in endemic rural settings worldwide.