Invasion of the Nasal Cavity by a Leech *Rearranged by the Editor, I. M. G.

In-Charge Dispensary, Barsar, District Kangra S. K., Pathan, of Kabul, aged 35, whilst on a journey in the Agency Tracts, drank water from an earthen vessel and during the act of swallowing he felt something in the throat which he took to be some blades of grass. He tried to pull them out but could not do so. For 20 days he constantly felt a tickling painful sensation. He tried on several occasions to remove the obstruction, and his finger nails injured and caused idceration in his throat. Present complaints.?Bleeding from the throat; difficult and painful deglutition, so much so that water could not be drunk, and an uneasy sensation of tickling in the throat. The symptoms had become more pronounced during the last 4 days. There was headache on the right side and pain in the right cheek. On examination.?The right side of the fauces was congested and the posterior pillar a little ulcerated in front. The pain and mental anxiety was such that he had taken no water for two days. He was admitted to hospital. At night, two hours after admission, I was called as the foreign body was in the mouth. On examination with a light a leech was distinctly seen wriggling about in the throat. I tried to clamp it with