Orbital Cellulitis Due To Leech Therapy

Kılıç, Mazlum; Ak, Rohat

doi:10.29252/beat-0703020

Cited by 5 publications

(5 citation statements)

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“…Although not frequent, ocular complications such as subconjunctival hemorrhage and orbital cellulitis have also been reported in the literature. [9,10] In the current case, bilateral combined retinal artery and vein occlusion accompanied by inflammatory changes in the brain occurred after leech therapy on the periocular area. Despite the antithrombotic effects of the leech, the presence of retinal artery and vein occlusion in both eyes reveals a paradoxical situation.…”

Section: Discussionmentioning

confidence: 58%

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Unusual Case of Bilateral Combined Retinal Vein and Artery Occlusion – Presumably due to Leech Therapy by Hirudo medicinalis

Ağın,

Oskan,

Tuzun

et al. 2023

Klin Monbl Augenheilkd

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Vorstellung eines Patienten, der aufgrund von Hirudo Medicinalis einen kombinierten Netzhautarterien- und Venenverschluss entwickelte. Eine 55-jährige Patientin wurde mit der Vordiagnose Pseudotumor cerebri in unsere Klinik überwiesen. In ihrer Anamnese wurde eine Woche zuvor eine Blutegeltherapie im Periokularbereich durchgeführt. Bei ihrer biomikroskopischen Untersuchung war die Fundoskopie mit einem bilateralen kombinierten Netzhautvenen- und Arterienverschluss vereinbar. In der kranialen Magnetresonanztomographie (MRT) wurde eine akute multiple Diffusionseinschränkung festgestellt. In der neuroradiologischen und neuropathologischen Beratung wurde ein Zusammenhang mit einem entzündlichen Prozess vermutet. Trotz aller ärztlichen Untersuchungen und Behandlungen konnte beim Patienten keine Verbesserung des Sehvermögens erreicht werden. Darüber hinaus wurden in der zweijährigen Nachuntersuchung keine systemischen Befunde festgestellt, die diese Situation erklären könnten. Es ist zu bedenken, dass ein kombinierter Netzhautvenen- und Arterienverschluss, der selten beobachtet wird, bei einem entzündlichen Prozess im Zusammenhang mit Hirudo Medicinalis auftreten kann. Abstract To present a patient who developed combined retinal artery and vein occlusion due to Hirudo medicinalis. A 55-year-old female patient was referred to our clinic with a pre-diagnosis of pseudotumor cerebri. In her history, leech therapy was applied to the periocular area a week before. On her biomicroscopic evaluation, fundoscopy was compatible with bilateral combined retinal vein and artery occlusion. Acute multiple diffusion restriction was detected in cranial magnetic resonance imaging (MRI). In neuroradiological and neuropathological consultation, the findings were thought to be associated with an inflammatory process. Despite all the medical evaluation and treatment, the patient could not achieve visual improvement. Besides, no systemic findings were detected in two years follow-up that could explain this situation. It should be kept in mind that combined retinal vein and artery occlusion, which is rarely observed, may be seen with an inflammatory process associated with Hirudo medicinalis.

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Section: Discussionmentioning

confidence: 58%

“…Meningitis has been associated with leech therapy in the temporal head region after central nervous system surgery [8]. Although not frequent, ocular complications such as subconjunctival hemorrhage and orbital cellulitis have also been reported in the literature [9,10].…”

Section: Discussionmentioning

confidence: 99%

Unusual Case of Bilateral Combined Retinal Vein and Artery Occlusion – Presumably due to Leech Therapy by Hirudo medicinalis

Ağın,

Oskan,

Tuzun

et al. 2023

Klin Monbl Augenheilkd

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“…The patient presented with complaints of swelling and redness in both eyes and face. The diagnosis was orbital cellulitis due to leech therapy and the patient was hospitalized for treatment of orbital cellulitis [ 13 ]. A case of keratitis developing due to leech therapy could not be found in the literature.…”

Section: Discussionmentioning

confidence: 99%

Keratitis following leech therapy for periocular eczematous dermatitis: a case report

Özkaya

2023

BMC Complement Med Ther

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Background The medicinal leech therapy (MLT) is a kind of complementary treatment method used for various diseases. The leeches (Hirudo medicinalis) have been used for more than 2500 years by surgeons. The substances presenting in the saliva of leeches have anti-inflammatory, anticoagulant, platelet inhibitory, thrombin regulatory, analgesic, extracellular matrix degradative and antimicrobial effects. The method is cheap, easy to apply, effective and its mechanisms of action have been clarified for specific diseases. Infection particularly Aeromonas infection is the most common complication of MLT. Case presentation In this case report, a keratitis case developing after leech therapy applied for the periocular and facial eczematous dermatitis lesions will be presented. The patient referred to our hospital with decreased vision, ocular pain, stinging, redness and lacrimation complaints. A large corneal epithelial defect with irregular margins, dying by fluorescein, involving more than inferior half of cornea and conjunctival hyperemia were seen in the right eye. No agent was determined in microbiological investigation, as the patient had used topical moxifloxacin eye drop which was commenced in another clinic before applying to us. The patient was treated with fortified vancomycin and ceftazidime, before using besifloxacin with the diagnosis of bacterial keratitis. Three weeks later epithelial defect improved completely leaving an opacity and neovascularization. Conclusions MLT should be performed by certified physicians with sterile medicinal leeches and precautious antibiotics should be used before MLT for prevention against potential infections.

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“…Despite its benefits, the main complication of leech therapy is infection, including cellulitis, perianal abscess, and keratitis, with infection rates reported between 2 % and 36 % [ [65] , [66] , [67] , [68] ]. Additionally, the bites of leech can cause mild skin itching, which can last for hours to three days [ 63 ].…”

Section: Different Treatment Methods Of Animal Healersmentioning

confidence: 99%

Animal healer for refractory diseases: Myth or reality?

Song,

Zhang,

Yang

et al. 2024

Heliyon

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Orbital Cellulitis Due To Leech Therapy

Cited by 5 publications

References 1 publication

Unusual Case of Bilateral Combined Retinal Vein and Artery Occlusion – Presumably due to Leech Therapy by Hirudo medicinalis

Unusual Case of Bilateral Combined Retinal Vein and Artery Occlusion – Presumably due to Leech Therapy by Hirudo medicinalis

Keratitis following leech therapy for periocular eczematous dermatitis: a case report

Animal healer for refractory diseases: Myth or reality?

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