Aeromonas hydrophila infection complicating digital replantation and revascularization
Case report published in J Hand Surg Am (1989)
Abstract
Two cases of thumb replantation and one of finger revascularization complicated by Aeromonas hydrophila infection are reported. Two digits were lost because of infection in soft tissue and osteomyelitis. One thumb had extensive necrosis. In all cases the infection was difficult to eradicate, probably because of ischemia. All three patients sustained their injuries while cutting meat or fish. These infection sources have not been previously reported. Note is made of Aeromonas hydrophila in medicinal leeches that are used in microvascular surgery and the potential for iatrogenic infection.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Резюме
Three cases of thumb/finger replantation complicated by Aeromonas hydrophila infection; two digits lost; Aeromonas in medicinal leeches noted as potential iatrogenic infection source.
Почему это важно для гирудотерапии
This article reports three cases of Aeromonas hydrophila infection complicating digital replantation and revascularization, resulting in the loss of two digits and extensive necrosis of one thumb. All three patients sustained injuries while cutting meat or fish—sources not previously reported—and the infections were difficult to eradicate, likely due to tissue ischemia. The authors specifically note the presence of A. hydrophila in medicinal leeches that are used in microvascular surgery and the potential for iatrogenic infection. This is relevant to hirudotherapy safety as it highlights the pathogenic potential of A. hydrophila in the context of medicinal leech use. However, the reported infections in these cases arose from occupational trauma rather than leech application; the leech connection is noted only as a contextual caution, and the report involves a small number of cases without controls.
Цитирование
Aeromonas hydrophila infection complicating digital replantation and revascularization.
Lowen RM et al. · J Hand Surg Am, 1989
Связанный клинический контекст
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