Hirudoterapiye Bağlı Gelişen Bilateral Hemartroz: Olgu Sunumu

Öz

Giriş: Latince ismi hirudoterapi olan sülüklerle tedavi son yıllarda tekrar popülarite kazanmış olmasına rağmen eski çağlardan beri kullanılmaktadır. Olgu Sunumu: 64 yaşında bayan hasta dizlerinde ağrı ve şişlik nedeniyle acil servisimize başvurdu. Kumadin tedavisi almakta olan hasta, ağrıları nedeniyle her iki dizine sülük uygulamıştı. Her iki diz bölgesinde lokalize durdurulamayan kanama ve hemartroz saptanan hasta acil yaklaşım sonrası yatırılarak tedavi edildi. Herhangi bir komplikasyon gelişmeyen hasta tedavi sonrası taburcu edildi. Sonuç: Hirudoterapi doğal bir tedavi metodu olmasına karşın, kanama diatezini de içeren bazı komplikasyonları vardır. Uygulama öncesi hasta dikkatlice değerlendirilmeli, aldığı ilaçlar ve mevcut hastalıkları sorgulanmalıdır.

Anahtar Kelimeler

• Hirudoterapi, Kanama, Kumadin

Bilateral Hemarthrosis due to Hirudotherapy: Case Report

Öz

Introduction: Treatment with leeches known as hirudotherapy in Latin language. Although it has been obtained popularity recently, it has been used since ancient times. Case report: A 64-year-old woman presented to our emergency service with bilateral knee pain and swelling. The patient has been used coumadine, and because of pain she has been applied leechs bilateral her knees. After emergency management, because of unstopped lokalised bleeding on knees and hemarthrosis, the patient was hospitalised in hematology clinic. After treatment, the patient was discharged without any complication.Conclusion: Although hirudotherapy is natural treatment method, it has certain complications inludes also bleeding diathesis. Previous to application of hirudotherapy, patient should be evaluated carefully and should be ask about drugs received and present diseases

Anahtar Kelimeler

• Hirudotherapy, Bleeding, Coumadine

Kaynakça

1. Munshi Y, Ara I, Rafique H, Ahmad Z. Leeching in the history--a review. Pak J Biol Sci. 2008;11:1650-3.
2. Papavramidou N, Christopoulou-Aletra H. Medicinal use of leeches in the texts of ancient Greek, Roman and early Byzantine writers. Intern Med J. 2009;39:624-7.
3. Yantis MA, O’Toole KN, Ring P. Leech therapy. Am J Nurs. 2009;109:36-42.
4. Morozova SV, Aksenova OV. Hirudotherapy in the treatment of peripheral cochleovestibular disorders of vascular origin. Vestn Otorinolaringol. 2009;4:51-3.
5. Teut M, Warning A. Leeches, phytotherapy and physiotherapy in osteo-arthrosis of the knee--a geriatric case study. Forsch Komplementmed. 2008;15:269-72.
6. Michalsen A, Lüdtke R, Cesur O, Afra D, Musial F, Baecker M, et al. Effectiveness of leech therapy in women with symptomatic arthrosis of the first carpometacarpal joint: a randomized controlled trial. Pain. 2008;137:452- 9.
7. Sviridkina LP, Borovaia EP, Makhneva AV. Hirudotherapy in combined sanatorium-spa treatment of patients with coronary heart disease. Vopr Kurortol Fizioter Lech Fiz Kult. 2008;3:12-5.
8. İkizceli İ, Avşaroğulları L, Sözüer E, Yürümez Y, Akdur O. Bleeding due to a medicinal leech bite. Emerg Med J. 2005;22:458–460.

9. Etemadi J, Ardalan MR, Motavali R, Tubbs RS, Shoja MM. Thrombotic microangiopathy as a complication of medicinal leech therapy. South Med J. 2008;101:845-7.
10. S. Whitaker, D. Izadi, D. W. Oliver, G. Monteath, P. E. Butler. Hirudo Medicinalis and the plastic surgeon. Br J Plast Surg. 2004;57:348-353.