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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References
- Historical article: Hirudo medicinalis: ancient origins of, and trends in the use of medicinal leeches throughout history.Br J Oral Maxillofac Surg. 2004; 42: 133-137
- Medicinal leech use in microsurgery.J Hand Surg Am. 2010; 35: 1019-1021
- Novel use of a hemostatic dressing in the management of a bleeding leech bite: a case report and review of the literature.Wilderness Environ Med. 2012; 23: 44-48
- Bleeding due to a medicinal leech bite.Emerg Med J. 2005; 22: 458-460
- AKATOS.in: Bilateral hemarthrosis due to Hirudotherapy: case report. 1. 2010: 2
- Hemorrhagic shock due to hirudotherapy made with uncontrolled multiple leech bites.Cukurova Med J. 2014; 39: 147-151
- Leech bites: massive bleeding, coagulation profile disorders, and severe anemia.Am J Emerg Med. 2008; 26: e3-e6
- The effect of three different doses of tranexamic acid on blood loss after cardiac surgery with mild systemic hypothermia.J Cardiothorac Vasc Anesth. 1998; 12: 642-646
- Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial.Lancet. 2010; 376: 23
- Tranexamic acid for the treatment of heavy menstrual bleeding: efficacy and safety.Int J Womens Health. 2012; 4: 413-421
- Prolonged bleeding on the neck in leech therapy: case report.Arch Clin Exp Surg. 2015; 4: 234-237
Article Info
Publication History
Published online: May 12, 2016
Accepted:
May 9,
2016
Received:
April 30,
2016
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
