BibTex RIS Kaynak Göster

Hemorrhagic shock due to hirudotherapy made with uncontrolled multiple leech bites

Yıl 2014, Cilt: 39 Sayı: 1, 147 - 151, 22.07.2014
https://doi.org/10.17826/cutf.00041

Öz

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.

Kaynakça

  • Singh AP. Medicinal leech therapy (hirudotherapy): a brief overview. Complement Ther Clin Pract. 2010;16:213-5.
  • Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE. Hirudo Medicinalis and the plastic surgeon. Br J Plast Surg. 2004;57:348-53.
  • Abal'masov DV, Afanas'ev VV, Pozharitskaia MM. Leeching in the treatment of chronic inflammatory and dystrophic diseases of the salivary glands. Stomatologiia (Mosk). 2003;82:43-6.
  • Teut M, Warning A. Leeches, phytotherapy and physiotherapy in osteo-arthrosis of the knee-a geriatric case study. Forsch Komplementmed. 2008;15:269-72.
  • Adams SL. The emergency management of a medicinal leech bite. Ann Emerg Med. 1989;18:316
  • Faust EC, Russel PF, Jurg RC. Craig and Faust’s Clinical Parasitology, 8th ed. Philadelphia, Lea & Febiger, 1970.
  • Shamsaddini S, Dabiri S. Basal cell carcinoma on nickel dermatitis after leech applying. East Mediterr Health J. 2000;6:197-9.
  • Munro R, Hechtel FO, Sawyer RT. Sustained bleeding after a leech bite in the apparent absence of hirudin. Thromb Haemost. 1989;61:366-9.
  • İkizceli İ, Avşaroğulları L, Sözüer E, Yürümez Y, Akdur O. Bleeding due to a medicinal leech bite. Emerg Med J. 2005;22:458–60.
  • Whitlock MR, O'Hare PM, Sanders R, Morrow NC. The medicinal leech and its use in plastic surgery: a possible cause for infection. Br J Plast Surg. 1983;36:240-4.
  • Cundall DB, Whitehead SM, Hechtel FO. Severe anaemia and death due to pharyngeal leech Myxobdella africana. Trans R Soc Trop Med Hyg. 1986;80:940-4.
  • Kavaklı H, Tanrıverdi F. Bilateral Hemarthrosis due to Hirudotherapy: Case Report. Akatos. 2010;1:20-2.
  • Deka PM, Rajeev TP. Unusual cause of hematuria. Urol Int. 2001;66:41-2.
  • Saha PK, Roy S, Bhattacharya D, Mukherjee P, Naskar T, Bhuiya A. Leech bite: a rare gynecologic emergency. MedGenMed. 2005;7:73.
  • Kose A, Zengin S, Kose B, Gunay N, Yildirim C, Kilinc H et al. Leech bites: massive bleeding, coagulation profile disorders, and severe anemia. Am J Emerg Med. 2008;26:1067.
  • Kavaklı HŞ, Tanrıverdi F. Bilateral hemarthrosis due to hir udotherapy: case report. Akademik Acil Tıp Olgu Sunumları Dergisi. 2010;1:20-2 .
  • Yazışma Adresi / Address for Correspondence: Dr. Mehmet O ğuzhan Ay Adana Numune Eduction and Research Hospital Department of Emergency Medicine Ege Bagatur Bulvarı üzeri, 01240, ADANA e mail: droguzhan2006@mynet.com geliş tarihi/received :22.08.2013 kabul tarihi/accepted:16.09.2013

Kontrolsüz çoklu sülük ısırması ile yapılan hirodoterapiye bağlı hemorajik şok

Yıl 2014, Cilt: 39 Sayı: 1, 147 - 151, 22.07.2014
https://doi.org/10.17826/cutf.00041

Öz

Hirudoterapi, sülükler kullanılarak yapılan alternatif bir tedavi yöntemidir. Özellikle ağrı, siyaledenit, osteoartrit ve venöz yetersizlik tedavisi için kullanılmaktadır. Sülüklerin salgısında bulunan hirudin adlı madde kan koagulasyonunu önleyerek kanamaya neden olmaktadır. Bu yazıda, bilinçsiz ve kontrolsüz yapılan hirudoterapinin aşırı kanamaya neden olarak hayati tehlike oluşturabileceğine dikkat çekilmesi amaçlandı. Bacaklarındaki derin ven trombozu nedeniyle warfarin kullanan ve bilinçsiz hirudoterapi uygulamasına bağlı olarak cilt kanamaları ve hemorajik şok ile Acil Servise başvuran nadir bir olgu sunuldu.

Kaynakça

  • Singh AP. Medicinal leech therapy (hirudotherapy): a brief overview. Complement Ther Clin Pract. 2010;16:213-5.
  • Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE. Hirudo Medicinalis and the plastic surgeon. Br J Plast Surg. 2004;57:348-53.
  • Abal'masov DV, Afanas'ev VV, Pozharitskaia MM. Leeching in the treatment of chronic inflammatory and dystrophic diseases of the salivary glands. Stomatologiia (Mosk). 2003;82:43-6.
  • Teut M, Warning A. Leeches, phytotherapy and physiotherapy in osteo-arthrosis of the knee-a geriatric case study. Forsch Komplementmed. 2008;15:269-72.
  • Adams SL. The emergency management of a medicinal leech bite. Ann Emerg Med. 1989;18:316
  • Faust EC, Russel PF, Jurg RC. Craig and Faust’s Clinical Parasitology, 8th ed. Philadelphia, Lea & Febiger, 1970.
  • Shamsaddini S, Dabiri S. Basal cell carcinoma on nickel dermatitis after leech applying. East Mediterr Health J. 2000;6:197-9.
  • Munro R, Hechtel FO, Sawyer RT. Sustained bleeding after a leech bite in the apparent absence of hirudin. Thromb Haemost. 1989;61:366-9.
  • İkizceli İ, Avşaroğulları L, Sözüer E, Yürümez Y, Akdur O. Bleeding due to a medicinal leech bite. Emerg Med J. 2005;22:458–60.
  • Whitlock MR, O'Hare PM, Sanders R, Morrow NC. The medicinal leech and its use in plastic surgery: a possible cause for infection. Br J Plast Surg. 1983;36:240-4.
  • Cundall DB, Whitehead SM, Hechtel FO. Severe anaemia and death due to pharyngeal leech Myxobdella africana. Trans R Soc Trop Med Hyg. 1986;80:940-4.
  • Kavaklı H, Tanrıverdi F. Bilateral Hemarthrosis due to Hirudotherapy: Case Report. Akatos. 2010;1:20-2.
  • Deka PM, Rajeev TP. Unusual cause of hematuria. Urol Int. 2001;66:41-2.
  • Saha PK, Roy S, Bhattacharya D, Mukherjee P, Naskar T, Bhuiya A. Leech bite: a rare gynecologic emergency. MedGenMed. 2005;7:73.
  • Kose A, Zengin S, Kose B, Gunay N, Yildirim C, Kilinc H et al. Leech bites: massive bleeding, coagulation profile disorders, and severe anemia. Am J Emerg Med. 2008;26:1067.
  • Kavaklı HŞ, Tanrıverdi F. Bilateral hemarthrosis due to hir udotherapy: case report. Akademik Acil Tıp Olgu Sunumları Dergisi. 2010;1:20-2 .
  • Yazışma Adresi / Address for Correspondence: Dr. Mehmet O ğuzhan Ay Adana Numune Eduction and Research Hospital Department of Emergency Medicine Ege Bagatur Bulvarı üzeri, 01240, ADANA e mail: droguzhan2006@mynet.com geliş tarihi/received :22.08.2013 kabul tarihi/accepted:16.09.2013
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma
Yazarlar

Mustafa Yilmaz Bu kişi benim

Mehmet Oguzhan Ay Bu kişi benim

Mesude Atli Bu kişi benim

Ali Arikan Bu kişi benim

Yayımlanma Tarihi 22 Temmuz 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 39 Sayı: 1

Kaynak Göster

MLA Yilmaz, Mustafa vd. “Kontrolsüz çoklu sülük ısırması Ile yapılan Hirodoterapiye bağlı Hemorajik şok”. Cukurova Medical Journal, c. 39, sy. 1, 2014, ss. 147-51, doi:10.17826/cutf.00041.