title: [Leech-borne infection on a TRAM flap: a case report].
abstract: 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.
authors.affiliation: Service de Chirurgie Plastique, CHU de Rennes, Hôpital Sud, 16 Boulevard Bulgarie, 35203 Rennes Cedex 2, France. bourdaisludovic@aol.com
authors.forename: L
authors.initials: L
authors.lastname: Bourdais
authors.forename: J-L
authors.initials: JL
authors.lastname: Heusse
authors.forename: S
authors.initials: S
authors.lastname: Aillet
authors.forename: C
authors.initials: C
authors.lastname: Schoentgen
authors.forename: E
authors.initials: E
authors.lastname: Watier
mesh_terms: D016980:Aeromonas hydrophila / Q000302:isolation & purification / Q000472:pathogenicity*; D002511:Cephalosporins / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D024763:Leeching / Q000009:adverse effects*; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D017568:Rectus Abdominis / Q000382:microbiology* / Q000637:transplantation*; D013524:Surgical Flaps / Q000382:microbiology*
chemical_list: D002511:Cephalosporins; D002939:Ciprofloxacin