Leech bites: massive bleeding, coagulation profile disorders, and severe anemia

Köse, Ataman; Zengin, Suat; Köse, Beril; Günay, Nurullah; Yıldırım, Cuma; Kılınç, Hasan Erkan; Togun, Ismail

doi:10.1016/j.ajem.2008.03.022

Cited by 26 publications

(44 citation statements)

References 9 publications

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“…The prolonged duration of bleeding can therefore be caused by small molecules (histamine-like substance), modulators (saratin, calin) and other enzymes (hyaluronidase, collagenase, apyrase, destabilase) secreted by the leeches as they feed (table 1). 1 7 12 Sustained bleeding after a leech bite can persist for a mean of 10 h and as long as 7 days 7. In our patient, although he did not have any haematological problems, his bleeding continued for 16 to 17 h.…”

Section: Discussionmentioning

confidence: 51%

“…Hirudin has an antagonistic effect against thrombin, which is an important enzyme that converts fibrinogen to fibrin in the coagulation cascade. The antagonistic effect of hirudin is a temporary effect that ends in about 15 min and causes a decrease in platelet aggregation 7. Calin has a powerful action as an anticoagulant that binds to exposed host collagen in ruptured blood vessels and inhibits attachment of von Willebrand factor 7 8.…”

Section: Discussionmentioning

confidence: 99%

“…The antagonistic effect of hirudin is a temporary effect that ends in about 15 min and causes a decrease in platelet aggregation 7. Calin has a powerful action as an anticoagulant that binds to exposed host collagen in ruptured blood vessels and inhibits attachment of von Willebrand factor 7 8. Histamine-like substance is another protein that causes vasodilation of the blood vessels 1 9.…”

Section: Discussionmentioning

confidence: 99%

“…Antibiotic therapy following medicinal leech application is recommended. For this purpose, third generation cephalosporins, aminoglycosides, trimethoprim-sulfamethoxazole and ciprofloxacin are used 7. In our patient, ciproflaxacine (Cipro) 500 mg (2×1 PO) was given as a prophylactic.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prolonged bleeding due to a medicinal leech bite: another treatment method, primary suture

Zengin¹,

Yarbil²,

Kılıç

et al. 2012

Case Reports

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Medicinal leeches have been used in the treatment of many diseases for thousands of years. A 25-year-old man presented to our emergency department with bleeding from right and left side of his neck. He had applied leeches 10 h previously to both sides of his neck to treat acne. The bleeding was not controlled by applying pressure with sterile gauze upon the wounds. Homeostasis was achieved by primary suture under local anaesthesia. Prolonged bleeding can be seen following medical leech application. In such cases, bleeding can be controlled by primary suture.

show abstract

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prolonged bleeding due to a medicinal leech bite: another treatment method, primary suture

Zengin¹,

Yarbil²,

Kılıç

et al. 2012

Case Reports

View full text Add to dashboard Cite

show abstract

“…In the case report presented by Köse A et al in 2008, the patient had 140 bleeding points on the body causing serious anemia following bath in a pond 15 . Kavaklı et al reported a case who was using warfarin and developed bilateral hemarthrosis after hirudotherapy 16 .…”

Section: Discussionmentioning

confidence: 99%

Kontrolsüz çoklu sülük ısırması ile yapılan hirodoterapiye bağlı hemorajik şok

Yılmaz¹,

Ay²,

Atli³

et al. 2014

Cukurova Medical Journal

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Hirudotherapy is a alternative treatment method using leeches. It is especially used for the treatment of pain, sialadenitis, osteoartritis and venous insufficiency. Hirudin which is one of the secreted substances of leeches prevents blood coagulation and causes bleeding. In this paper, we aimed to draw attention to the unconsciously and uncontrolled done hirudotherapy which can become a serious life-threatening health problem. For this purpose, a rare case using warfarin for deep vein thrombosis in his legs and who admitted to emergency department with skin hemorrhages and hemorrhagic shock due to unconsciously done hirudotherapy is presented.

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Leeches in Microsurgery – An Evidence-Based Approach

Knobloch

2010

Toxins and Hemostasis

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Leech bites: massive bleeding, coagulation profile disorders, and severe anemia

Cited by 26 publications

References 9 publications

Prolonged bleeding due to a medicinal leech bite: another treatment method, primary suture

Prolonged bleeding due to a medicinal leech bite: another treatment method, primary suture

Kontrolsüz çoklu sülük ısırması ile yapılan hirodoterapiye bağlı hemorajik şok

Leeches in Microsurgery – An Evidence-Based Approach

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