Hospital-Associated Infection from Leeches
Authors: Elias Abrutyn
Journal: Annals of Internal Medicine (1988)

Editorials1 September 1988Hospital-Associated Infection from LeechesElias Abrutyn, MDElias Abrutyn, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-5-356 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA 3 year old patient's right ear was bitten off by her family dog, leaving only the lobule in place. In the operating room, several vessels 0.2-0.5 mm in diameter were identified in the ear segment, but arteries and veins could not be distinguished. After trimming, the ear was sutured in place. A tiny artery (0.4 mm) and two veins (0.3 and 0.4 mm) in the lobule were joined to vessels in the ear segment; two additional veins in the ear segment (0.5 and 0.6 mm) were joined to functioning superficial veins. Vein grafts were not used. On day 5,...References1. MutimerBanisUpton KJJ. Microsurgical reattachment of totally amputated ears. Plast Reconstr Surg. 1987;79:535-40. CrossrefMedlineGoogle Scholar2. RaoBailieBailey PFB. Leechmania in microsurgery. Practitioner. 1985;229:901-5. MedlineGoogle Scholar3. BatchelorDavisonSully APL. The salvage of congested skin flaps by the application of leeches. Br J Plast Surg. 1984;37:358-60. CrossrefMedlineGoogle Scholar4. MakinEdwards CL. Application of leeches to reduce swelling after reconstructive surgery. Br J Urol. 1987;59:189. CrossrefMedlineGoogle Scholar5. Höltje W. Successful replantation of an amputated upper lip. Plast Reconstr Surg. 1984;73:664-8. CrossrefMedlineGoogle Scholar6. Lim C. Successful transfer of "free" microvascular superficial temporal artery flap with no obvious venous drainage and use of leeches for reducing venous congestion: case report. Microsurgery. 1986;7:87-8. CrossrefMedlineGoogle Scholar7. Adams S. The medicinal leech: a page from the Annelids of internal medicine. Ann Intern Med. 1988;109:399-405. LinkGoogle Scholar8. GreenGilby CJ. The medicianal leech. J R Soc Health. 1983;103:42-4. CrossrefMedlineGoogle Scholar9. Bunker T. The contemporary use of the medicinal leech. Injury. 1981;12:430-2. CrossrefMedlineGoogle Scholar10. Medicinal leeches: restoring venous circulation in cosmetic and reconstructive surgery. Westbury: Leeches U.S.A. Ltd.; 1987. Google Scholar11. BeaverJung PR. Leeches. In: Beaver PC, Jung RC, eds. Animal Agents and Vectors of Human Disease. 5th ed. Philadelphia: Lea & Febiger; 1985:195-7. Google Scholar12. Lent C. New medical and scientific uses of the leech. Nature. 1986;323:494. CrossrefMedlineGoogle Scholar13. Sawyer R. Feeding and digestive system. In: Sawyer RT. Leech Biology and Behavior, v 2: Feeding, Biology, Ecology, and Systematics. Oxford: Clarendon Press; 1986:490-2. Google Scholar14. RigbiLevyEldor MHA. The saliva of the medicinal leech Hirudo medicinalis: II. Inhibition of platelet aggregation and of leukocyte acitivity and examination of reputed anaesthetic effects. Comp Biochem Physiol [C]. 1987;88:95-8. CrossrefMedlineGoogle Scholar15. Von Graevenitz A. Aeromonas and Plesiomonas. In: Lennette EH, Balows A, Hausier WJ Jr, Shadomy HJ, eds. Manual of Clinical Microbiology, 4th ed. Washington: American Society for Microbiology; 1985: 278-81. Google Scholar16. HolmbergSchellFanning SWG. Aeromonas intestinal infections in the United States. Ann Intern Med. 1986;105:683-9. LinkGoogle Scholar17. WolffWisemanKitchens RSC. Aeromonas hydrophila bacteremia in ambulatory immunocompromised hosts. Am J Med. 1980;68:238-42. CrossrefMedlineGoogle Scholar18. DavisKaneGaragusi WJV. Human aeromonas infections: a review of the literature and a case report of endocarditis. Medicine (Baltimore): 1978;57:267-77. CrossrefMedlineGoogle Scholar19. DicksonBoothmanHare WPK. An unusual source of hospital wound infection. Br Med J [Clin Res]. 1984;289:1727-8. CrossrefMedlineGoogle Scholar20. MercerBeereBornemiszaThomas NDAP. Medical leeches as sources of wound infection. Br Med J [Clin Res]. 1987;294:937. CrossrefMedlineGoogle Scholar21. WhitlockO'HareSandersMorrow MPRN. The medicinal leech and its use in plastic surgery: a possible cause for infection. Br J Plast Surg. 1983;36:240-4. CrossrefMedlineGoogle Scholar22. Sawyer R. Leech Biology and Behavior, v 1: Anatomy, Physiology, and Behaviour, v 2: Feeding Biology, Ecology, and Systematics. v 3: Bibliography. Oxford: Clarendon Press; 1986. Google Scholar23. Sawyer R. Feeding and digestive system. In: Sawyer RT. Leech Biology and Behavior, v 2: Feeding Biology, Ecology, and Systematics. Oxford: Clarendon Press; 1986:514. Google Scholar24. Sawyer R. Feeding and digestive system. In: Sawyer RT. Leech Biology and Behaviour, v 2: Feeding Biology, Ecology, and Systematics. Oxford: Clarendon Press; 1986;518-23. Google Scholar25. FainsteinWeaverBodey VSG. In vitro susceptibilities of Aeromonas hydrophila against new antibiotics. Antimicrob Agents Chemother. 1982;22:513-4. CrossrefMedlineGoogle Scholar26. NeuChinNeu HNN. In vitro activity and beta-lactamase stability of a new penem, CGP 31608. Antimicrob Agents Chemother. 1987;31:558-69. CrossrefMedlineGoogle Scholar27. San JoaquinScribnerPickettWelch VRDD. Antimicrobial susceptibility of Aeromonas species isolated from patients with diarrhea. Antimicrob Agents Chemother. 1986;30:794-5. CrossrefMedlineGoogle Scholar28. FassBarnishan RJ. In vitro susceptibilities of Aeromonas hydrophila to 32 antimicrobial agents. Antimicrob Agents Chemother. 1981;19:357-8. CrossrefMedlineGoogle Scholar29. MotylMcKinleyJanda MGJ. In vitro susceptibilities of Aeromonas hydrophila, Aeromonas sobria, and Aeromonas caviae to 22 antimicrobial agents. Antimicrob Agents Chemother. 1985;28:151-3. CrossrefMedlineGoogle Scholar30. FassHelsel RV. In vitro activities of Ro 19-5247 and Ro 15-8074, new oral cephalosporins. Antimicrob Agents Chemother. 1986;30:429-34. CrossrefMedlineGoogle Scholar31. ReinhardtGeorge JW. Comparative in vitro activities of selected antimicrobial agents against Aeromonas species and Plesiomonas shigelloides. Antimicrob Agents Chemother. 1985;27:643-5. CrossrefMedlineGoogle Scholar32. WellsElliottTullett SJP. Status of the medicinal Leech Hirudo medicinalis [Letter]. Biol Conservation. 1984;30:379-80. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCharacterization of the Digestive-Tract Microbiota of Hirudo orientalis , a European Medicinal LeechAeromonas SpeciesLeeches and their microbiota: naturally simple symbiosis modelsHirudo Medicinalis and the plastic surgeonHirudo medicinalis: The Need for Prophylactic AntibioticsSymbiosis of Aeromonas veronii Biovar sobria and Hirudo medicinalis , the Medicinal Leech: a Novel Model for Digestive Tract AssociationsThe medical leech: An old treatment revisitedPsychiatric Reactions to LeechesThe use of leeches for treatment of venous congestion of the nipple following breast surgeryMusculoskeletal and Soft Tissue Aeromonas Infection: An Environmental DiseaseRecent advances in the study of the taxonomy, pathogenicity, and infectious syndromes associated with the genus AeromonasUnusual case of Aeromonas hydrophila endocarditisAeromonas hydrophila infection associated with the use of medicinal leechesMolecular Requirements for the Colonization of Hirudo medicinalis by Aeromonas veronii 1 September 1988Volume 109, Issue 5Page: 356-358KeywordsArteriesEar infectionsPatient advocacyVeins Issue Published: 1 September 1988 PDF downloadLoading ...