前臂游离皮瓣修复术后并发水蛭相关复合感染
Leech related complex infection after reconstruction with a microvascular forearm flap.
作者信息
Beger Benjamin, von Loewenich Friederike, Goetze Elisabeth, Moergel Maximilian, Walter Christian
机构信息
1Department of Oral and Maxillofacial Surgery - Plastic Surgery, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany.
2Department of Medical Microbiology and Hygiene, University Medical Center of the Johannes Gutenberg-University Mainz, Augustusplatz 2, 55131 Mainz, Germany.
出版信息
J Maxillofac Oral Surg. 2018 Mar;17(1):68-70. doi: 10.1007/s12663-016-0961-z. Epub 2016 Sep 6.
Medical leeches () in plastic and reconstructive surgery are often used for the treatment of vascular failure after microvascular surgery. Leeches are a reservoir for bacteria of the group that help digesting the blood meal. In some cases these bacteria are able to cause severe wound infections that can lead to loss of tissue transplants. We report about a patient with a common microvascular forearm flap after resection of an oral squamous cell carcinoma which got infected by spp. after treatment with medical leeches. Most of these species are resistant for common antibiotic treatment after surgery. This report shows the importance of an early concomitant antibiotic prophylaxis in the treatment of venous congestion with medical leeches.
医用水蛭在整形和重建手术中常用于治疗微血管手术后的血管功能衰竭。水蛭是有助于消化血餐的某类细菌的宿主。在某些情况下，这些细菌能够引发严重的伤口感染，进而导致组织移植失败。我们报告了一例口腔鳞状细胞癌切除术后采用常见的前臂微血管皮瓣的患者，其在接受医用水蛭治疗后被某类细菌感染。这些细菌中的大多数对术后常用的抗生素治疗具有耐药性。本报告显示了在使用医用水蛭治疗静脉充血时早期联合使用抗生素预防的重要性。
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