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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10.1016/j.jhsa.2013.11.041

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

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.",

keywords = "Aeromonas, Replantation, antibiotic prophylaxis, antibiotic resistance, leeches",

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AU - Gonzalez, Alexandra

AU - McKenna, Maureen C.

AU - McKenna, Theresa K.

AU - Carlsen, Brian T.

AU - Moran, Steven L.

PY - 2014/3/1

Y1 - 2014/3/1

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AB - 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.

KW - Aeromonas

KW - Replantation

KW - antibiotic prophylaxis

KW - antibiotic resistance

KW - leeches

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

Abstract

Keywords

ASJC Scopus subject areas

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