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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)499-502
Number of pages4
JournalJournal of Hand Surgery
Volume39
Issue number3
DOIs
StatePublished - Mar 1 2014

Keywords

  • Aeromonas
  • Replantation
  • antibiotic prophylaxis
  • antibiotic resistance
  • leeches

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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