Abstract
prolonged periods to treat venous congestion, which in time compromises arterial entry, in an attempt to preserve the maximal amount of irreplacable specialized skin. Distally based plantar avulsions often necrose, and in these two cases there was a strong clinical impression that the leeches saved as much as 60 per cent of plantar skin in the first case and 85 per cent in the second case. Both patients were placed on broad spectrum antirnicrobials as prophylaxis against infection initially, and subsequently because of the risk of leech-induced Aeromonas hydrophila (Whitlock et al., 1983; Dickson et al., 1984; Mercer et al., 1987; Hermansdorfer et al., 1988).
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