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
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container_title Annales de chirurgie plastique et esthétique
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creator Bourdais, L
Heusse, J-L
Aillet, S
Schoentgen, C
Watier, E
description 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.
doi_str_mv 10.1016/j.anplas.2009.05.001
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subjects 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
title Leech-borne infection on a TRAM flap: a case report
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