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Treatment of a patient in hemorrhagic shock due to leech bite with tranexamic acid

      Leeching is one of the traditional therapies commonly used in our region. It is most commonly applied to certain diseases including rheumatoid disorders, chronic headache, and skin problems. Leeching may lead to some complications such as ceaseless bleeding. This case report describes a 21-year-old man presenting to the emergency department with shock due to ceaseless bleeding following leeching applied for acnes on his face. Because the bleeding of the patient could not be stopped despite the pressure dressing, repeated doses of 250 mg tranexamic acid were given to the patient. The vital signs of the patient were restored after the bleeding stopped, and regular saline solution was infused. He was discharged from the emergency department, as his hemoglobin and hematocrit values were not observed to decline during the follow-up.
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