Lok Ugur, Bozkurt Selim, Okur Mehmet, Gulacti Umut, Hatipoglu Sinan
Department of Emergency, Adiyaman University, Adiyaman, Turkey.
Am J Case Rep. 2013 Jun 7;14:191-193. doi: 10.12659/AJCR.883936. Print 2013.
['Patient: Female, 42', 'Final Diagnosis: Leech bite', 'Symptoms: -', 'Medication: -', 'Clinical Procedure: -', 'Specialty: Infectious diseases.']
Unusual clinical course.
(), also referred to as the medical leech, not only has been used by alternative medicine since ancient times, but it has also been used in modern medical care in the last century. This report introduces and discusses some rare complications from leech bite, beyond external skin hemorrhage.
A 42-year-old woman was referred to our emergency room with painful and itchy lesions on her feet and legs. Because of her knee and leg pain, about 14 leeches were adhered onto both her legs. There were left rubor, tumor and some other areas of itching on leech-adhered regions. In physical examination, the right popliteal region and the same leg posterior area lesions were erythematous, edematous, and plaque-like shaped, as well as ecchymotic and hemorrhagic areas at the centre of the lesions.
In this article we present the case of a woman referred to our emergency department with skin findings related to a leech bite. We could not find any report about regional subcutaneous hematoma and cutaneous reactions in the literature. may cause ecchymosis and various skin lesions, not only external skin bleeding. Physicians should keep in mind leech bite in patients with itchy lesions on the calves, knees, and feet.
['患者：女性，42岁', '最终诊断：水蛭叮咬', '症状：-', '用药：-', '临床操作：-', '专科：传染病']
不寻常的临床病程。
（），也被称为医用水蛭，自古以来不仅被替代医学所使用，在上个世纪也被用于现代医疗护理中。本报告介绍并讨论了水蛭叮咬除皮肤外出血之外的一些罕见并发症。
一名42岁女性因足部和腿部疼痛、瘙痒性皮损被转诊至我院急诊室。由于她的膝盖和腿部疼痛，约14只水蛭附着在她的双腿上。水蛭附着部位有红斑、肿块以及其他一些瘙痒区域。体格检查时，右腘窝区域及同侧腿部后侧皮损呈红斑、水肿、斑块样，皮损中央还有瘀斑和出血区。
在本文中，我们报告了一名因水蛭叮咬相关皮肤表现转诊至我院急诊科的女性病例。我们在文献中未发现任何关于局部皮下血肿和皮肤反应的报告。（水蛭叮咬）可能导致瘀斑和各种皮肤损害，而不仅仅是皮肤外出血。医生应牢记小腿、膝盖和足部有瘙痒性皮损的患者可能是水蛭叮咬。
