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Ceftriaxone-Resistant Aeromonas Infection Following Leech Therapy After Free Gracilis Transfer: A New Resistant Strain
Michael R. Bykowski, Xiao Zhu, Rafael Diaz-Garcia
University of Pittsburgh
2018-02-14
Presenter: Michael R. Bykowski
Affidavit:
The submitted work is the majority work performed by Michael Bykowski
Director Name: Vu Nguyen
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
We report a case of ceftriaxone-resistant Aeromonas hydrophila infection in a 32-year-old male after medicinal leech therapy. The patient underwent a free gracilis muscle flap for dorsal foot soft tissue reconstruction. Due to persistent congestion after venous revision, medicinal leech therapy was initiated to aid in flap salvage. Intravenous ceftriaxone was administered prior to application of leeches for prophylaxis against Aeromonas hydrophila. Leech therapy was discontinued after one week and ceftriaxone was discontinued 24 hours thereafter. An infection developed despite being on appropriate antibiotics. Culture sensitivities indicated that A. hydrophila was resistant to ceftriaxone.
