A Comprehensive Review of Hirudiniasis: From Historic Uses of Leeches to Modern Treatments of Their Bites Jeremy Joslin, MD, Amy Biondich, MD, Kara Walker,

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Presentation transcript:

A Comprehensive Review of Hirudiniasis: From Historic Uses of Leeches to Modern Treatments of Their Bites Jeremy Joslin, MD, Amy Biondich, MD, Kara Walker, MD, Nicole Zanghi, BA Wilderness & Environmental Medicine Volume 28, Issue 4, Pages 355-361 (December 2017) DOI: 10.1016/j.wem.2017.08.002 Copyright © 2017 Wilderness Medical Society Terms and Conditions

Figure 1 Hirudo medicinalis attached to a human hand. Photograph credit/rights: Shamleen/Shutterstock. Wilderness & Environmental Medicine 2017 28, 355-361DOI: (10.1016/j.wem.2017.08.002) Copyright © 2017 Wilderness Medical Society Terms and Conditions

Figure 2 Coagulation interruption by hirudin found in leech saliva (adapted from Hildebrandt and Lemke4). Wilderness & Environmental Medicine 2017 28, 355-361DOI: (10.1016/j.wem.2017.08.002) Copyright © 2017 Wilderness Medical Society Terms and Conditions

Figure 3 Bleeding foot after removal of leeches. Photograph credit/rights: Mykola Ivashchenko/Shutterstock. Wilderness & Environmental Medicine 2017 28, 355-361DOI: (10.1016/j.wem.2017.08.002) Copyright © 2017 Wilderness Medical Society Terms and Conditions