title: Novel use of a hemostatic dressing in the management of a bleeding leech bite: a case report and review of the literature.
abstract: Persistent bleeding from leech bites is a common occurrence, although little evidence is available to guide management. Detailed here is the case of a 30-year-old American man who presented with two leech bites after a trek through the jungle in Nepal, one of which continued to briskly ooze blood despite standard wound care. The wound was ultimately treated with QuikClot gauze, which allowed for rapid hemostasis without rebleeding. This case report describes the first use of a hemostatic dressing for this purpose, and reviews what is known about hemostatic agents and about leeches in order to discuss how they make us bleed and what to do when a leech bite occurs.
authors.affiliation: University of Texas Southwestern, Department of Surgery, Emergency Medicine, Section on EMS, Disaster Medicine, and Homeland Security, Dallas, TX 75390-8579, USA. prestonjfedor@gmail.com
authors.forename: Preston J
authors.initials: PJ
authors.lastname: Fedor
mesh_terms: D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D007865:Leeches; D008297:Male; D009779:Occlusive Dressings; D016896:Treatment Outcome