Ciprofloxacin-resistant Aeromonas hydrophila infection following leech therapy
Case report/review published in J Plast Reconstr Aesthet Surg (2012)
Abstract
Compromised flap perfusion can lead to the use of leech therapy to aid in flap salvage. Aeromonas hydrophila, a symbiont of the leech, is a well-known bacterial pathogen that has the potential to cause infection in patients receiving leech therapy. Ciprofloxacin is commonly regarded as the antibiotic of choice for prophylaxis against this pathogen. We present patient who underwent leech therapy during salvage attempts for a venous congested flap. A resultant infection developed despite being on appropriate antibiotics. Culture sensitivities indicated that A. hydrophila was resistant to ciprofloxacin.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Zusammenfassung
Patient with venous-congested flap developed ciprofloxacin-resistant A. hydrophila infection despite appropriate prophylaxis. Review of literature on emerging resistance.
Warum dies für die Hirudotherapie relevant ist
This case report describes a patient who developed an Aeromonas hydrophila infection during leech therapy for a venous congested flap, despite receiving what was considered appropriate ciprofloxacin prophylaxis. Culture sensitivities confirmed the A. hydrophila strain was resistant to ciprofloxacin, the commonly regarded antibiotic of choice for prophylaxis against this pathogen. This is directly relevant to ASH's domain, documenting prophylaxis failure due to resistance and raising concern about relying solely on ciprofloxacin for Aeromonas coverage during hirudotherapy. The limitation is that this is a single case report with no broader epidemiological or resistance surveillance data.
Zitation
Ciprofloxacin-resistant Aeromonas hydrophila infection following leech therapy: a case report and review of the literature.
Patel KM et al. · Journal of plastic, reconstructive & aesthetic surgery, 2012
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