Leech-borne infection on a TRAM flap: a case report

Leeches are used worldwide to treat venous congestion of flaps. Aeromonas hydrophila infections are recognized complications of leech use. We report a new case of delayed leech-borne infection in mammary reconstruction by a Transverse Rectus Abdominis Myocutaneous flap (TRAM), which caused the flap...

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Veröffentlicht in:	Annales de chirurgie plastique et esthétique 2010-02, Vol.55 (1), p.71-73
Hauptverfasser:	Bourdais, L, Heusse, J-L, Aillet, S, Schoentgen, C, Watier, E
Format:	Artikel
Sprache:	fre
Schlagworte:	Aeromonas hydrophila - isolation & purification Aeromonas hydrophila - pathogenicity Cephalosporins - therapeutic use Ciprofloxacin - therapeutic use Female Gram-Negative Bacterial Infections - complications Gram-Negative Bacterial Infections - diagnosis Humans Leeching - adverse effects Mammaplasty - methods Middle Aged Rectus Abdominis - microbiology Rectus Abdominis - transplantation Surgical Flaps - microbiology
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Beschreibung
Zusammenfassung:	Leeches are used worldwide to treat venous congestion of flaps. Aeromonas hydrophila infections are recognized complications of leech use. We report a new case of delayed leech-borne infection in mammary reconstruction by a Transverse Rectus Abdominis Myocutaneous flap (TRAM), which caused the flap loss. The use of prophylactic antibiotics is a way to prevent A.hydrophila infection (third generation cephalosporin, ciprofloxacin). This antibioprophylaxy must be followed until wound closure of the venous congested tissue.
ISSN:	1768-319X
DOI:	10.1016/j.anplas.2009.05.001