Ciprofloxacin-resistant Aeromonas infection following leech therapy for digit replantation: Report of 2 cases

Nickolas A. Van Alphen; Alexandra Gonzalez; Maureen C. McKenna; Theresa K. McKenna; Brian T. Carlsen; Steven L. Moran

doi:10.1016/j.jhsa.2013.11.041

Ciprofloxacin-resistant Aeromonas infection following leech therapy for digit replantation: Report of 2 cases

Nickolas A. Van Alphen, Alexandra Gonzalez, Maureen C. McKenna, Theresa K. McKenna, Brian T. Carlsen, Steven L. Moran

Plastic and Reconstructive Surgery

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

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.

Original language	English (US)
Pages (from-to)	499-502
Number of pages	4
Journal	Journal of Hand Surgery
Volume	39
Issue number	3
DOIs	https://doi.org/10.1016/j.jhsa.2013.11.041
State	Published - Mar 1 2014

Keywords

Aeromonas
Replantation
antibiotic prophylaxis
antibiotic resistance
leeches

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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Ciprofloxacin-resistant Aeromonas infection following leech therapy for digit replantation : Report of 2 cases. / Van Alphen, Nickolas A.; Gonzalez, Alexandra; McKenna, Maureen C.; McKenna, Theresa K.; Carlsen, Brian T.; Moran, Steven L.

In: Journal of Hand Surgery, Vol. 39, No. 3, 01.03.2014, p. 499-502.

Research output: Contribution to journal › Article › peer-review

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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.",

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