Ciprofloxacin-resistant Aeromonas infection following leech therapy for digit replantation: report of 2 cases.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24495623.
- Also identified by DOI 10.1016/j.jhsa.2013.11.041.
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Abstract
Medicinal leeches are commonly used after finger replantation to treat surgically unsalvageable venous congestion. Infection from Aeromonas hydrophila is a recognized complication of leech therapy that can be underestimated by the medical community. Ciprofloxacin and trimethoprim-sulfamethoxazole are the most commonly recommended prophylactic antibiotics used to prevent A. hydrophila infections during leech therapy. Here, we report 2 cases of ciprofloxacin-resistant Aeromonas infections, occurring within 4 months of each other. Both cases developed after leech therapy for unsuccessful digital replantation. These infections were successfully treated with ceftriaxone. Ciprofloxacin-resistant Aeromonas should be recognized when determining prophylactic antibiotic protocols for replant centers when leech therapy is used for finger replantation.
Medical subject headings
- Anti-Bacterial Agents
- Ciprofloxacin
- Drug Resistance, Bacterial
- Finger Injuries
- Gram-Negative Bacterial Infections
- Leeching
- Replantation