Ciprofloxacin-Resistant Aeromonas hydrophila Cellulitis following Leech Therapy

Author:

Giltner Carmen L.1,Bobenchik April M.1,Uslan Daniel Z.2,Deville Jaime G.3,Humphries Romney M.1

Affiliation:

1. David Geffen School of Medicine, Departments of Pathology and Laboratory Medicine, University of California, Los Angeles, California, USA

2. Internal Medicine, University of California, Los Angeles, California, USA

3. Pediatrics, University of California, Los Angeles, California, USA

Abstract

ABSTRACT We report a case of surgical site infection with ciprofloxacin-resistant Aeromonas hydrophila following leech therapy. Antimicrobial and genetic analyses of leech and patient isolates demonstrated that the resistant isolates originated from the leech gut microbiota. These data suggest that ciprofloxacin monotherapy as a prophylaxis regimen prior to leech therapy may not be effective in preventing infection.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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3. A new species of the medicinal leech (Oligochaeta, Hirudinida, Hirudo) from Transcaucasia and an identification key for the genus Hirudo;Utevsky SY;Parasitol. Res,2005

4. The Type II Secretion System Is Essential for Erythrocyte Lysis and Gut Colonization by the Leech Digestive Tract Symbiont Aeromonas veronii

5. SawyerRT . 1986. Leech biology and behaviour, volume II feeding, biology, ecology and systematics. Oxford University Press, Oxford, United Kingdom.

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