Leech enters to mouth and nose through water. Nose and nasopharynx mucosa are the most preferred places for leech attachment with epistaxis and respiratory distress symptoms. But the leeches may rarely stick deeper to trachea or esophagus which could cause hematemesis, hemoptysis and severe respiratory distress. Leech infestation can cause gastrointestinal, respiratory and genital bleeding in rare cases. Various animals such as ruminants, single-toed and carnivores, are easily infected with leeches. In May 2014, a 2-year-old turkey infected with leeches through the contaminated drinking water was referred to a veterinarian with respiratory distress symptoms, anxiety, bleeding from the mouth in Maze-Abdali Village located at 17 km from Dehloran City of Ilam Province in the west of Iran. After physical observations, a moving dark green particle was seen. Limnatis nilotica were detected after separation from the oral cavity of turkey. Respiratory distress and oral cavity bleeding should be regarded in the areas where spring and flooded water were infested with leeches. Untreated and contaminated waters consumption should be prohibited.