Delayed leech-borne infection with Aeromonas hydrophilia in escharotic flap wound. |
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Authors: | B Ardehali K Hand C Nduka A Holmes S Wood |
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Institution: | Department of Plastic and Reconstructive Surgery, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London W6 8AF, UK. ardehali@hotmail.com |
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Abstract: | Medicinal leeches (Hirudo medicinalis) are commonly used in plastic surgery for the salvage of congested flaps and replanted parts compromised by venous congestion. Infection associated with leech therapy is a documented complication of leech application, with reported incidences ranging from 2.4 to 20% De Chalain TM. Exploring the use of the medicinal leech: a clinical risk-benefit analysis. J Reconstr Microsurg 1996;12(3):165-72.1]. We describe a case of delayed leech-borne infection, from the escharotic portion of a latissimus dorsi flap, which developed several days after stopping leech therapy for venous congestion in a reconstructed breast. |
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